Individual
CHANCELINE UMENJOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
457 DEARBORN AVE APT F, DAYTON, OH 45417-2001
(937) 979-3725
Mailing address
457 DEARBORN AVE APT F, DAYTON, OH 45417-2001
(937) 979-3725
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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