Individual
JACQUELINE YVONNE BUYCKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1122 LEXINGTON AVE, DAYTON, OH 45402-5607
(937) 838-3551
Mailing address
1122 LEXINGTON AVE, DAYTON, OH 45402-5607
(937) 838-3551
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
03/22/2020
Last updated
03/22/2020
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