Most Relevant Information
Provider Data
| NPI Number: | 1003300484 |
| Provider Name: | LETICIA NICOLE DRANE |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/19/2018 |
| Last Updated: | 06/19/2018 |
Provider Practice Location
600 WAYNE AVE
DAYTON
OH
454101122
Practice Location Phone/Fax
| Phone: | 9374962000 |
| Fax: |
Provider Mailing Location
600 WAYNE AVE
DAYTON
OH
454101122
Provider Mailing Phone/Fax
| Phone: | 9374962000 |
| Fax: |