Individual
JASON DECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
132 BETHPOLAMY CT, DAYTON, OH 45415-2511
(937) 718-4634
Mailing address
132 BETHPOLAMY CT, DAYTON, OH 45415-2511
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
05/02/2024
Last updated
05/02/2024
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