Individual
PAMELA DALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
217 WESTHAVEN DR, KETTERING, OH 45429-1549
(937) 414-0237
Mailing address
217 WESTHAVEN DR, KETTERING, OH 45429-1549
(937) 414-0237
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
RQ536689
OH
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
07/20/2023
Last updated
07/20/2023
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