Individual
ALTIYYA A BLOCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7571 MOUNT HOOD, DAYTON, OH 45424-6911
(937) 829-1108
Mailing address
5606 TROY VILLA BLVD, DAYTON, OH 45424-2646
(937) 707-4379
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.378017
OH
Other
Enumeration date
12/19/2023
Last updated
12/19/2023
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