Individual
DELANI LORALYE DECKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9000 N MAIN ST STE 202, ENGLEWOOD, OH 45415-1165
(937) 832-9700
Mailing address
4357 JOY DR, ENON, OH 45323-1614
(520) 603-0267
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0035129
OH
Other
Enumeration date
02/29/2024
Last updated
02/29/2024
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