Individual
DEJA OMARIYAH SANFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
228 W CHURCH ST APT B, XENIA, OH 45385-2982
(937) 725-1524
Mailing address
228 W CHURCH ST APT B, XENIA, OH 45385-2982
(937) 725-1524
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
01/23/2025
Last updated
01/23/2025
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