Individual
WILLIA MCDANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1217 W GRAND AVE, DAYTON, OH 45402-6129
(937) 380-5466
Mailing address
1217 W GRAND AVE, DAYTON, OH 45402-6129
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
401655800614
OH
Other
Enumeration date
04/28/2016
Last updated
04/28/2016
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