Individual provider · Type 1 NPI

Dalton Dawayne Nichols

Student in an Organized Health Care Education/Training Program · Los Angeles, CA

NPI number 1568007243 Active

Practice location

13029 Stanford Ave
Los Angeles, CA 90059-3339

Call (424) 366-9509 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1568007243

Dalton Dawayne Nichols's National Provider Identifier is 1568007243, issued on Nov 17, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Los Angeles, CA. The record was last updated on Nov 17, 2019.