Individual
MRS. ROCHELLE LENORE SOUTHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,CDE
Contact information
Practice address
1 WYOMING ST, DAYTON, OH 45409-2722
(937) 208-6298
Mailing address
1 WYOMING ST, DAYTON, OH 45409-2722
(937) 208-6298
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
RN179560
OH
Other
Enumeration date
02/27/2009
Last updated
02/27/2009
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