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Individual

MARIA BACHNA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
30 E APPLE ST, SUITE 5254, DAYTON, OH 45409-2939
(937) 208-4200
(937) 641-7210
Mailing address
30 E APPLE ST, SUITE 5254, DAYTON, OH 45409-2939
(937) 208-4200
(937) 641-7210

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.005031RX
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0215374
OH
Enumeration date
04/05/2017
Last updated
12/18/2020
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