Individual
IVAN LUIS CASIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 ELIZABETH PL, DAYTON, OH 45417-3445
(937) 813-1737
Mailing address
8364 MARTZ PAULIN RD, FRANKLIN, OH 45005-4020
(513) 465-9371
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.544818
OH
164W00000X
Licensed Practical Nurse
LPN.182996.MED-IV
OH
Other
Enumeration date
02/26/2024
Last updated
05/21/2025
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