Individual
DANIEL LEE DAUGHERTY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
STNA
Contact information
Practice address
4567 SPRING HILL RD, NEWARK, OH 43056-9022
(740) 763-2024
(740) 281-0028
Mailing address
4567 SPRING HILL RD, NEWARK, OH 43056-9022
(740) 763-2024
(740) 281-0028
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
401115450710
OH
Other
Enumeration date
09/18/2010
Last updated
09/18/2010
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