Individual
FREDDY MBARUSHA MBANANAYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4525 DRAYTON CT, DAYTON, OH 45440-1901
(937) 789-6289
Mailing address
4525 DRAYTON CT, DAYTON, OH 45440-1901
(937) 789-6289
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
OH
Other
Enumeration date
06/06/2024
Last updated
06/06/2024
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