Most Relevant Information
Provider Data
| NPI Number: | 1003422817 |
| Provider Name: | MARGUERITE MCDONNELL |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/17/2020 |
| Last Updated: | 09/17/2020 |
Provider Practice Location
3640 COLONEL GLENN HWY
DAYTON
OH
454350001
Practice Location Phone/Fax
| Phone: | 9377753458 |
| Fax: |
Provider Mailing Location
3640 COLONEL GLENN HWY
DAYTON
OH
454350001
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |