DALTON DAWAYNE NICHOLS

LOS ANGELES, CA
NPI1568007243
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-11-17
Last Update Date2019-11-17
Business Address
DALTON DAWAYNE NICHOLS
13029 STANFORD AVE
LOS ANGELES, CA 90059-3339
Phone number: 424-366-9509
Mailing Address
DALTON DAWAYNE NICHOLS
13029 STANFORD AVE
LOS ANGELES, CA 90059-3339
Phone number: 424-366-9509
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