Individual
CHARLES DANIELS III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5711 MENEREY LN APT 107, COLUMBUS, OH 43230-9018
(216) 280-0820
Mailing address
5711 MENEREY LN APT 107, COLUMBUS, OH 43230-9018
(216) 280-0820
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
SK771639
OH
Other
Enumeration date
04/23/2025
Last updated
04/23/2025
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