Individual
AMBER LYN CHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AT
Contact information
Practice address
5491 FAR HILLS AVE, DAYTON, OH 45429-2325
(937) 436-5763
(937) 436-7399
Mailing address
5491 FAR HILLS AVE, DAYTON, OH 45429-2325
(937) 436-5763
(937) 436-7399
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
AT.003343
OH
Other
Enumeration date
02/26/2010
Last updated
02/26/2010
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