Individual
DESIREE G DELAWDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4962 STATE ROUTE 138, HILLSBORO, OH 45133-7518
(937) 288-2203
Mailing address
4962 STATE ROUTE 138, HILLSBORO, OH 45133-7518
(937) 288-2203
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0473981
—
OH
Enumeration date
01/25/2022
Last updated
02/25/2022
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