Individual
DANA NELLOMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6725 GALAXIE DR, DAYTON, OH 45415-1406
(937) 626-3880
Mailing address
1057 SUPERIOR AVE, DAYTON, OH 45402
(937) 671-1108
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
141424
OH
Other
Enumeration date
03/14/2011
Last updated
08/12/2019
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