Individual
ALANIS FAITH DAUGHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11223 E SIDE RD, HAMERSVILLE, OH 45130-8442
(513) 716-0651
Mailing address
11223 E SIDE RD, HAMERSVILLE, OH 45130-8442
(513) 716-0651
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
0801617
OH
Other
Enumeration date
11/25/2020
Last updated
11/25/2020
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