Individual
CARMEN BACCUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4772 STRATSBURG DR, DAYTON, OH 45417-8841
(937) 559-0968
Mailing address
4772 STRATSBURG DR, DAYTON, OH 45417-8841
(937) 559-0968
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
OH
Other
Enumeration date
07/27/2015
Last updated
07/27/2015
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