Individual
BREANNA MANDELA ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2309 RUGBY RD, DAYTON, OH 45406-2127
(937) 361-0000
Mailing address
2309 RUGBY RD, DAYTON, OH 45406-2127
(937) 361-0000
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
05/27/2024
Last updated
05/27/2024
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