Individual
DESIREE UPSHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1442 SWINGER DR, DAYTON, OH 45417-8225
(937) 450-9018
Mailing address
1442 SWINGER DR, DAYTON, OH 45417-8225
(937) 450-9018
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
401389960512
OH
Other
Enumeration date
09/25/2024
Last updated
09/25/2024
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