Individual provider · NPI-1

Anthony M Byrd

Technician, Attendant Care Provider · Dayton, OH

NPI number1629836895
StatusActive
Last updated in NPPESMar 11, 2024

Details

NPI
1629836895
Entity type
Individual (NPI-1)
Name
Anthony M Byrd
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 11, 2024
Certification date
Mar 11, 2024
Last updated
Mar 11, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3747A0650X Technician, Attendant Care Provider––Yes

Practice location

504 Bowen St
Dayton, OH 45410-2421

Phone 937-977-5086

Mailing address

504 Bowen St
Dayton, OH 45410-2421

Phone 937-977-5086

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