Individual
JOSHUA OTUSAFO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3816 COLUMBINE PL, DAYTON, OH 45405-5101
(937) 867-8886
Mailing address
3816 COLUMBINE PL, DAYTON, OH 45405-5101
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
401363140312
OH
Other
Enumeration date
04/28/2012
Last updated
04/28/2012
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