Individual
DANICE LEE CALLAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5712 TROY VILLA BLVD, DAYTON, OH 45424-2648
(937) 212-6470
Mailing address
5712 TROY VILLA BLVD, DAYTON, OH 45424-2648
(937) 212-6470
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN137175-M-IV
OH
Other
Enumeration date
04/11/2012
Last updated
04/11/2012
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