Individual
DR. ERICA FAYE SUPRENANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
8721 N MAIN ST, DAYTON, OH 45415-1331
(937) 264-3150
(513) 858-7827
Mailing address
6200 PLEASANT AVE STE 3, FAIRFIELD, OH 45014-4671
(513) 829-9333
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36003787
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
04/11/2014
Last updated
10/29/2024
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