Individual
LAVITA BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8547 WHITE CEDAR DR, APT 320, MIAMISBURG, OH 45342-5396
(937) 718-1195
Mailing address
8547 WHITE CEDAR DR, APT 320, MIAMISBURG, OH 45342-5396
(937) 718-1195
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
401251790611
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
401251790611
STNA
OH
Enumeration date
02/06/2013
Last updated
02/06/2013
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