Dalton Dawayne Nichols is a student in an organized health care education training program in Los Angeles, CA. The provider is 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. Dalton Dawayne Nichols NPI is 1568007243. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
13029 STANFORD AVE
LOS ANGELES, CA
ZIP 90059-339
Phone: (424) 366-9509
The enumeration date for this NPI number is 11/17/2019 and was last updated on 11/17/2019.