Individual
SHELLESSA DIANA DILLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1604 OAKRIDGE DR, DAYTON, OH 45417-2419
(937) 520-6799
Mailing address
1604 OAKRIDGE DR, DAYTON, OH 45417-2419
(937) 520-6799
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
RR643232
OH
Other
Enumeration date
02/19/2026
Last updated
02/19/2026
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