Individual
CHARLOTTE RESPRESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1626 ACADEMY PL, DAYTON, OH 45406-4720
(937) 272-7204
Mailing address
1626 ACADEMY PL, DAYTON, OH 45406-4720
(937) 272-7204
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN330641
OH
Other
Enumeration date
07/21/2010
Last updated
08/19/2010
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