Individual
TISHA K. JAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4 LARETA ST, DAYTON, OH 45426-3007
(937) 830-6435
Mailing address
4 LARETA ST, DAYTON, OH 45426-3007
(937) 830-6435
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
RR627906
OH
Other
Enumeration date
07/09/2024
Last updated
07/16/2024
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