Individual
ANFAL A ABUSIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2190 HARSHMAN RD APT 12, DAYTON, OH 45424-6611
(937) 409-9923
Mailing address
2190 HARSHMAN RD APT 12, DAYTON, OH 45424-6611
(937) 409-9923
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
—
—
372500000X
Chore Provider
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
08/07/2020
Last updated
08/07/2020
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