Individual
MS. NICOLE DANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1640 DUXBERRY AVE, COLUMBUS, OH 43219-1051
(614) 595-0511
Mailing address
1640 DUXBERRY AVE, COLUMBUS, OH 43219-1051
(614) 595-0511
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
11/09/2010
Last updated
11/09/2010
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