Individual
MS. CIERRA ROSE MCCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3936 SADDLE RIDGE CIR, DAYTON, OH 45424-4871
(937) 938-5546
Mailing address
125 NASSAU ST, DAYTON, OH 45410-1835
(937) 694-3175
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0340916
—
OH
Enumeration date
07/31/2020
Last updated
07/31/2020
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