Individual
MRS. BEVERLY JEAN MOUNTJOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNC
Contact information
Practice address
1 WYOMING ST, DAYTON, OH 45409-2722
(937) 208-2007
(937) 208-2752
Mailing address
P.O. BOX 65, 402 SR 72, REESVILLE, OH 45166
(937) 208-2007
(937) 208-2752
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN149833
OH
Other
Enumeration date
05/12/2011
Last updated
05/12/2011
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