Most Relevant Information
Provider Data
| NPI Number: | 1003426024 |
| Provider Name: | REBECCA M DANCE |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/04/2020 |
| Last Updated: | 08/04/2020 |
Provider Practice Location
5752 DAVID PL
FAIRFIELD
OH
450143508
Practice Location Phone/Fax
| Phone: | 5134795259 |
| Fax: |
Provider Mailing Location
5752 DAVID PL
FAIRFIELD
OH
450143508
Provider Mailing Phone/Fax
| Phone: | 5134795259 |
| Fax: |