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: |