Individual
MIAIRAH KAVONNE HANSON TICHENOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4643 VANGUARD AVE, DAYTON, OH 45417-5935
(937) 939-5700
Mailing address
4643 VANGUARD AVE, DAYTON, OH 45417-5935
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
OH
Other
Enumeration date
05/18/2026
Last updated
05/18/2026
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