Individual
TEANA DENEICE OVERSTREET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4856 SHADWELL DR, DAYTON, OH 45416-1131
(937) 825-7481
Mailing address
4856 SHADWELL DR, DAYTON, OH 45416-1131
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
11/19/2024
Last updated
11/19/2024
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