Individual
KRISTEN DALLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
865 W MAIN ST, WILMINGTON, OH 45177-2128
(937) 728-4335
Mailing address
865 W MAIN ST, WILMINGTON, OH 45177-2128
(937) 728-4335
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/03/2025
Last updated
01/03/2025
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