Individual
LOIS DARLENE SORAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2202 W STROOP RD, DAYTON, OH 45439-2519
(937) 838-2647
Mailing address
2202 W STROOP RD, DAYTON, OH 45439-2519
(937) 838-2647
Taxonomy
Speciality
Code
Description
License number
State
385HR2065X
Child Physical Disabilities Respite Care
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105653157599
—
OH
Enumeration date
11/19/2020
Last updated
11/19/2020
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