Individual
CASIE MADDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 ELIZABETH PL, DAYTON, OH 45417-3445
(937) 813-1737
Mailing address
3880 SUMPTER AVE, DAYTON, OH 45414-5251
(937) 623-2400
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.179705.MEDS-IV
OH
Other
Enumeration date
08/03/2022
Last updated
08/03/2022
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