Individual
DIANNA LYNN BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5277 COBBLEGATE BLVD APT I, DAYTON, OH 45439-6111
(937) 396-6353
Mailing address
5277 COBBLEGATE BLVD APT I, DAYTON, OH 45439-6111
(937) 396-6353
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
2386065
OH
Other
Enumeration date
02/20/2007
Last updated
07/08/2007
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