Antila Deloa Daniels LPN

NPI 1730482423 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1730482423
Gender Female
Enumeration Date 12/17/2010
Last Updated 04/15/2015
Entity Type Individual
Active Over 5 years ago
Practice Location
2052 STEWART DR NW
WARREN OH, 44485-2341, US
Phone (330) 974-8773
Fax (330) 989-2906
Business Location
2052 STEWART DR NW
WARREN OH, 44485-2341, US
Phone (330) 974-8773
Fax (330) 989-2906
Toxanomy
Taxonomy Code 164W00000X
License State Ohio
License Number 131675
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According to our database, Ms. Antila Deloa Daniels LPN NPI is 1730482423, taxonomy code is 164W00000X and license number is 131675, license state is located at Ohio. Antila Deloa Daniels LPN physically located at 2052 Stewart Dr Nw, Warren OH, 44485-2341. NPI Number Antila Deloa Daniels LPN has the Individual type.

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1730482423 NPI number is provided on an as is basis without warranty of any kind. 1730482423 is maintained by the National Plan & Provider Enumeration System. The contents of Antila Deloa Daniels LPN are for informational purposes only.