Individual
DONAVAN M MAYBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4058 VINA VILLA AVE, DAYTON, OH 45417-1161
(937) 814-6290
Mailing address
4058 VINA VILLA AVE, DAYTON, OH 45417-1161
(937) 814-6290
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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