Individual
LAVERNE DENISE MCKAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
373 LISCUM DR, DAYTON, OH 45417-8951
(937) 245-3173
Mailing address
373 LISCUM DR, DAYTON, OH 45417-8951
(937) 245-3173
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
—
OH
376J00000X
Homemaker
Primary
172A00000X
OH
376J00000X
Homemaker
—
OH
Other
Enumeration date
03/22/2023
Last updated
03/22/2023
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