Individual
DANIEL NAZAIRE SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
8220 CASTOR AVE, PHILADELPHIA, PA 19152-2729
(215) 728-4371
(215) 728-4559
Mailing address
8220 CASTOR AVE, PHILADELPHIA, PA 19152-2729
(215) 728-4371
(215) 728-4559
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
TLPN008985
PA
Other
Enumeration date
03/27/2019
Last updated
03/27/2019
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