Individual
LUIS DIEGO CLARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4139 DAYTON XENIA RD, BEAVERCREEK, OH 45432-1948
(937) 620-7219
Mailing address
1836 BORDEAUX DR, FAIRBORN, OH 45324-2852
(513) 224-7305
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
C460524630310
FL
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
11/01/2023
Last updated
11/01/2023
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