Individual
ANGELA M OEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3580 SIMON RD, RUSSIA, OH 45363-9672
(937) 638-6674
Mailing address
3580 SIMON RD, RUSSIA, OH 45363-9672
(937) 638-6674
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
04/21/2023
Last updated
04/21/2023
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