Individual
DONNA MARIA CAROTHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3965 PARLIAMENT PL APT 95, KETTERING, OH 45429-4334
(937) 301-5493
Mailing address
3965 PARLIAMENT PL APT 95, KETTERING, OH 45429-4334
(937) 301-5493
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
172A00000X
OH
376J00000X
Homemaker
3747P1801X
OH
376J00000X
Homemaker
376J00000X
OH
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
385HR2060X
OH
Other
Enumeration date
10/18/2023
Last updated
10/18/2023
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