Individual
FANCY DANIELLE WAIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4972 FRANKLIN RD, HILLSBORO, OH 45133-8831
(937) 509-4022
Mailing address
4972 FRANKLIN RD UNIT B, HILLSBORO, OH 45133-8831
(937) 509-4022
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
TS993684
OH
Other
Enumeration date
10/31/2022
Last updated
10/31/2022
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