Individual
CHARLES DAMON SNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN BSN
Contact information
Practice address
4363 COACH LIGHT TRL, DAYTON, OH 45424-8042
(937) 750-0991
Mailing address
4363 COACH LIGHT TRL, DAYTON, OH 45424-8042
(937) 750-0991
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
283175
OH
Other
Enumeration date
10/20/2011
Last updated
10/20/2011
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