Individual
MS. NA ' TINA MICHELLE BASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4145 POMPTON CT, DAYTON, OH 45405
(937) 305-0570
(937) 813-1157
Mailing address
4145 PROMPTON CT, DSYTON, OH 45405
(937) 305-0570
(937) 813-1157
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
218409
OH
Other
Enumeration date
05/06/2026
Last updated
05/06/2026
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