Individual
MRS. EDRINA ROCHELLE SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6226 CARRIAGE DR, DAYTON, OH 45415-2639
(937) 516-1106
Mailing address
6226 CARRIAGE DR, DAYTON, OH 45415-2639
(937) 516-1106
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
12/21/2023
Last updated
12/21/2023
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