Individual
DIANA LYNN LEONARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2142 CORONETTE AVE, DAYTON, OH 45414-4538
(937) 278-1869
Mailing address
138 MARK TWAIN CT, DAYTON, OH 45414-3762
(937) 260-0075
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
FMG7346
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0189453
—
OH
Enumeration date
12/23/2020
Last updated
12/23/2020
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