Individual
REBECCA LITCHHOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1 WYOMING ST, DAYTON, OH 45409-2722
(937) 208-2723
Mailing address
1 WYOMING ST, DAYTON, OH 45409-2722
(937) 208-2723
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.351473-1
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
COA.18556-NA
OH
Other
Enumeration date
12/31/2015
Last updated
12/31/2015
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