Haven Sidell

NPI 1831813104 · on the registry since 2022 · sole proprietor

Practice

Address: 1628 E Dorothy Ln
Kettering, OH 45429
Phone: (937) 365-7455
Fax: (937) 600-6071
Organisation at this address: Wellnessride Of Dayton
Wellnessride Of Dayton
Gem City Health Network
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: 106S00000X
106S00000X
Licence states on file: OH
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2022-09-30

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