Individual
DIANE ARLENE PONDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1430 REID AVE, XENIA, OH 45385-2748
(937) 750-5938
Mailing address
1430 REID AVE, XENIA, OH 45385-2748
(937) 750-5938
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/08/2020
Last updated
10/08/2020
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