Individual
DANEA NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1925 SOUTHERN BLVD NW APT 27, WARREN, OH 44485-1631
(330) 623-1274
Mailing address
1925 SOUTHERN BLVD NW APT 27, WARREN, OH 44485-1631
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
401432680812
OH
Other
Enumeration date
05/10/2018
Last updated
05/10/2018
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