Individual
DARLA BALDONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8964 MILTON POTSDAM RD, WEST MILTON, OH 45383-9603
(937) 671-2609
Mailing address
8964 MILTON POTSDAM RD, WEST MILTON, OH 45383-9603
(937) 671-2609
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
—
—
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0090730
—
OH
Enumeration date
11/18/2020
Last updated
11/18/2020
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