Individual
BERN'A CAPTAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 W STROOP RD, DAYTON, OH 45439-2041
(937) 203-8115
Mailing address
2400 W STROOP RD, DAYTON, OH 45439-2041
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
450893
OH
Other
Enumeration date
05/08/2024
Last updated
05/08/2024
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