Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156FX1800X | Optician | S4239 | OH |
NPI | 1225270085 |
---|---|
Provider Name | Deborah Ragsdale |
First Address | Dayton, OH 45458-1623 |
Second Address | Dayton, OH 45458-1623 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/03/2009 |
Last Update Date | 25/03/2009 |