Individual
MRS. GAYLE COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IP
Contact information
Practice address
8717 N MAIN ST, DAYTON, OH 45415-1331
(937) 371-9941
(937) 387-6085
Mailing address
8717 N MAIN ST, DAYTON, OH 45415-1331
(937) 371-9941
(937) 387-6085
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
OH
347C00000X
Private Vehicle
—
OH
374U00000X
Home Health Aide
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0242001
—
OH
Enumeration date
11/09/2018
Last updated
11/09/2018
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