Individual
ANDRE AL ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
727 FIVE OAKS AVE, DAYTON, OH 45406-5219
(937) 603-2833
Mailing address
727 FIVE OAKS AVE, DAYTON, OH 45406-5219
(937) 603-2833
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
SD762973
OH
Other
Enumeration date
03/28/2022
Last updated
03/28/2022
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