Individual
NEKEMA SHINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4599 SALEM AVE, DAYTON, OH 45416-1709
(937) 802-0737
Mailing address
5032 HULMAN DR, DAYTON, OH 45406-1227
(937) 829-6029
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
COS.107709
OH
Other
Enumeration date
11/21/2023
Last updated
11/21/2023
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