Individual
ANDREA STEPHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1725 E 3RD ST, DAYTON, OH 45403-1850
(937) 310-1269
Mailing address
3008 SUDBURY DR, DAYTON, OH 45420-1129
(937) 310-1269
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
509633
OH
Other
Enumeration date
10/17/2024
Last updated
10/17/2024
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