Individual
NICOLETTA MAIENZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 WAYNE AVE, DAYTON, OH 45410-1122
(740) 335-3126
Mailing address
600 WAYNE AVE, DAYTON, OH 45410-1122
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/23/2019
Last updated
10/23/2019
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