DAVON DEMITRIUS DANIELS

LINCOLN, NE
NPI1346055985
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy251S00000X Community/Behavioral Health
Enumeration Date2025-02-11
Last Update Date2025-02-11
Business Address
DAVON DEMITRIUS DANIELS
7215 DORCHESTER CT
LINCOLN, NE 68521-5853
Phone number: 712-899-9004
Mailing Address
DAVON DEMITRIUS DANIELS
1140 SW 27TH ST APT 302
LINCOLN, NE 68522-1056
Phone number: 712-899-9004