Individual
ALIVIA JEWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 WYOMING ST, DAYTON, OH 45409-2722
(937) 208-6173
Mailing address
1 WYOMING ST, DAYTON, OH 45409-2722
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
COA.18567-NA
OH
Other
Enumeration date
01/12/2016
Last updated
01/04/2018
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