Individual
BERTHA L COSPY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
317 STUBBS DR, DAYTON, OH 45426-3160
(937) 815-2735
Mailing address
317 STUBBS DR, DAYTON, OH 45426-3160
(937) 815-2735
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
RS532660
OH
Other
Enumeration date
11/29/2021
Last updated
11/29/2021
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