Individual
NIKITA LYNNE JUSTICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5782 BARBANNA LN, DAYTON, OH 45415-2413
(937) 304-7666
Mailing address
5782 BARBANNA LN, DAYTON, OH 45415-2413
(937) 304-7666
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
03/20/2023
Last updated
03/20/2023
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