(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003292079
Provider Name: MICHELLE IVERY
Entity Type: Individual
Taxonomy Code: 164W00000X
Specialty: Licensed Practical Nurse
License Number: 398412
Most Important Dates
Enumeration Date: 07/31/2015
Last Updated: 07/31/2015
Provider Practice Location
318 HOLLENCAMP AVE
DAYTON
OH
454179029
Practice Location Phone/Fax
Phone: 9373970334
Fax:
Provider Mailing Location
318 HOLLENCAMP AVE
DAYTON
OH
454179029
Provider Mailing Phone/Fax
Phone:
Fax: