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NPI 1376956839 · on the registry since 2014 · sole proprietor
Practice
- Address
- 3252 Ridge Ave
Dayton, OH 45414 - Phone
- (937) 242-1344
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 374U00000X
374U00000X
- Sex
- Female
- Record last updated
- 2014-06-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio