Individual
MISS CONNIE S ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9525 E HASKETT LN, DAYTON, OH 45424-1611
(937) 232-2572
Mailing address
9525 E HASKETT LN, DAYTON, OH 45424-1611
(937) 232-2572
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
12/21/2020
Last updated
12/21/2020
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