Individual
CEDRIC J MCCLENDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2105 ALPENA AVE, DAYTON, OH 45406-2635
(937) 604-6741
Mailing address
2105 ALPENA AVE, DAYTON, OH 45406-2635
(937) 604-6741
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
—
172A00000X
Driver
—
—
225800000X
Recreation Therapist
—
—
372500000X
Chore Provider
Primary
—
—
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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