Individual
DANYELL E MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2421 13TH ST NW, CANTON, OH 44708-3116
(330) 452-9812
Mailing address
2421 13TH ST NW, CANTON, OH 44708-3116
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN163694
OH
Other
Enumeration date
01/02/2018
Last updated
01/02/2018
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