Individual
MARCUS LAMAR HOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3801 SOUTHSHORE DR APT A1, DAYTON, OH 45404-2914
(601) 678-6704
Mailing address
3801 SOUTHSHORE DR APT A1, DAYTON, OH 45404-2914
(601) 678-6704
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
08/07/2023
Last updated
08/10/2023
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