Individual
SHAWANA Y MACKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
562 LUDWELL PL, DAYTON, OH 45449-2497
(937) 367-4254
Mailing address
562 LUDWELL PL, DAYTON, OH 45449-2497
(937) 367-4254
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
08/30/2022
Last updated
08/30/2022
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