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Individual

DESIREE MCCAIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PROVIDER

Contact information

Practice address
3851 HEATHERSTONE DR, DAYTON, OH 45417-7007
(812) 558-1111
Mailing address
3851 HEATHERSTONE DR, DAYTON, OH 45417-7007
(181) 255-8111

Taxonomy

Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
3747P1801X
Personal Care Attendant

Other

Enumeration date
11/17/2020
Last updated
11/17/2020
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