Individual
DEASIA TACOLA CINATE MANNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1517 KIMMEL LN, DAYTON, OH 45417-6038
(937) 608-4473
Mailing address
1517 KIMMEL LN, DAYTON, OH 45417-6038
(937) 608-4473
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/15/2024
Last updated
04/15/2024
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