Individual
MRS. AIESHA M VAICHUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4881 SUGAR MAPLE DR, WPAFB, OH 45433-5529
(937) 257-8730
Mailing address
4881 SUGAR MAPLE DR, WPAFB, OH 45433-5529
(937) 522-2778
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1407694664
—
Other
Enumeration date
07/19/2024
Last updated
10/24/2025
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