Individual
LATRICE A DANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2151 RUSH BLVD, YOUNGSTOWN, OH 44507-1535
(330) 744-1181
Mailing address
160 S EDGEHILL AVE, AUSTINTOWN, OH 44515-3235
(330) 942-1610
Taxonomy
Speciality
Code
Description
License number
State
163WR0400X
Rehabilitation Registered Nurse
Primary
RN.435411
OH
Other
Enumeration date
05/15/2018
Last updated
05/15/2018
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