Individual
JYSMINE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
5230 HOOVER AVE, DAYTON, OH 45417-8307
(937) 203-1992
Mailing address
5230 HOOVER AVE, DAYTON, OH 45417-8307
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
UL990106
OH
347C00000X
Private Vehicle
UL990106
OH
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
01/08/2026
Last updated
02/04/2026
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