Individual
NANGABIRE NELLY MOISE I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6260 GENTRY WOODS DR, DAYTON, OH 45459-1159
(937) 239-9476
Mailing address
6260 GENTRY WOODS DR, DAYTON, OH 45459-1159
(937) 239-9476
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
12/09/2022
Last updated
12/09/2022
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