THEODORE JOSEPH DANIELS

FORT WAYNE, IN
NPI1255032041
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: IN  27059463A)
Enumeration Date2023-03-17
Last Update Date2023-03-17
Business Address
THEODORE JOSEPH DANIELS
2121 LAKE AVE
FORT WAYNE, IN 46805-5100
Phone number: 260-426-5431
Mailing Address
THEODORE JOSEPH DANIELS
2121 LAKE AVE
FORT WAYNE, IN 46805-5100
Phone number:
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