Individual provider · NPI-1
Allene Anderson
Homemaker · Dayton, OH
NPI number1013510056
StatusActive
Last updated in NPPESNov 20, 2020
Details
- NPI
- 1013510056
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Allene Anderson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 20, 2020
- Certification date
- Nov 20, 2020
- Last updated
- Nov 20, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 376J00000X | Homemaker | – | OH | Yes |
Practice location
16 Vassar DrDayton, OH 45406-4928
Phone 937-479-3125
Mailing address
16 Vassar DrDayton, OH 45406-4928
Phone 937-479-3125
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