Individual
AMANDA CATHERINE DALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2173 BENDING WILLOW DR, KETTERING, OH 45440-1101
(937) 838-3553
Mailing address
2173 BENDING WILLOW DR, KETTERING, OH 45440-1101
(937) 838-3553
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
193739613651
—
OH
Enumeration date
09/14/2020
Last updated
09/14/2020
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