Individual
CHAUNTAE R OLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4806 ERICSON AVE, DAYTON, OH 45417-5912
(937) 451-7760
Mailing address
4806 ERICSON AVE, DAYTON, OH 45417-5912
(937) 451-7760
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
488924
OH
Other
Enumeration date
08/13/2021
Last updated
08/13/2021
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