Individual
MS. PEGGY LEE DUBRAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4100 W 3RD ST, DAYTON, OH 45428-9000
(937) 268-6511
Mailing address
2007 AVON DR, BEAVERCREEK, OH 45431-3301
(937) 320-1903
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
198185
OH
163WC0400X
Case Management Registered Nurse
198185
OH
163WG0000X
General Practice Registered Nurse
198185
OH
163WH0200X
Home Health Registered Nurse
198185
OH
163WP0808X
Psychiatric/Mental Health Registered Nurse
198185
OH
Other
Enumeration date
09/15/2006
Last updated
09/11/2025
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