Individual
VICKIE COLLEEN MCDANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12990 NELSON LEDGE RD LOT B2, GARRETTSVILLE, OH 44231-9627
(440) 474-2890
Mailing address
PO BOX 407, GARRETTSVILLE, OH 44231-0407
(440) 474-2890
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
400769130608
OH
Other
Enumeration date
02/07/2020
Last updated
02/07/2020
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