Individual
GIDEON ABNER MAOSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
STNA
Contact information
Practice address
313 ARCHER DR, FAIRBORN, OH 45324-5109
(937) 361-5499
Mailing address
313 ARCHER DR, FAIRBORN, OH 45324-5109
(937) 361-5499
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
—
—
376K00000X
Nurse's Aide
Primary
—
OH
Other
Enumeration date
10/01/2012
Last updated
10/01/2012
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