Individual
NICHOLAS AMAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAA
Contact information
Practice address
1 WYOMING ST, DAYTON, OH 45409-2722
(937) 208-6173
Mailing address
3828 NORTHBROOK LN, MIDDLETOWN, OH 45044-7938
(937) 760-4457
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
—
—
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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