Individual
FREDERICA VANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1830 HICKORYDALE DR, DAYTON, OH 45406-3128
(937) 559-2326
Mailing address
1830 HICKORYDALE DR, DAYTON, OH 45406-3128
(937) 559-2326
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
OH
Other
Enumeration date
01/17/2017
Last updated
07/21/2022
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