Individual
DONISHA BOZEMAN-RUFARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2335 NEWPORT AVE, DAYTON, OH 45405-3420
(937) 520-9214
Mailing address
2335 NEWPORT AVE, DAYTON, OH 45405-3420
(937) 520-9214
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.138495-M-IV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PN.138495-M-IV
LPN
OH
Enumeration date
11/06/2013
Last updated
11/06/2013
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