Individual
DAYNA L BOLERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
215 E FOREST AVE, SOUTH LEBANON, OH 45065-1311
(513) 480-4491
(513) 480-4493
Mailing address
PO BOX 210, 215 E FOREST AVENUE, SOUTH LEBANON, OH 45065-0210
(513) 480-4491
(513) 480-4493
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1967
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0942387
—
OH
01
—
462228268052
CARESOURCE
OH
Enumeration date
11/10/2005
Last updated
09/05/2014
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