Individual
BAKOH MARTILDA AYUKNDANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
6125 N MAIN ST, DAYTON, OH 45415-3110
(937) 278-8211
Mailing address
6125 N MAIN ST, DAYTON, OH 45415-3110
(937) 278-8211
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0037685
OH
Other
Enumeration date
09/30/2024
Last updated
09/30/2024
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