Individual
SHANITA BUXTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3965 OLD SALEM RD, DAYTON, OH 45415-1433
(937) 478-7194
Mailing address
3965 OLD SALEM RD, DAYTON, OH 45415-1433
(937) 478-7194
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
—
—
251J00000X
Nursing Care Agency
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
332U00000X
Home Delivered Meals
—
—
Other
Enumeration date
09/06/2023
Last updated
09/06/2023
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