Individual
MS. ANTILA DELOA DANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2052 STEWART DR NW, WARREN, OH 44485-2341
(330) 974-8773
(330) 989-2906
Mailing address
2052 STEWART DR NW, WARREN, OH 44485-2341
(330) 974-8773
(330) 989-2906
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
131675
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3105857
—
OH
Enumeration date
12/17/2010
Last updated
04/15/2015
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