Doctor Name: | MRS. D'JUANA RENEE' REDMON |
NPI Number: | 1528293859 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCP |
License Number: | 000000 |
Business Practice Address: | 2200 Philadelphia Dr Suite 555 Dayton, OH - 454061840 |
Business Phone Number: | 9372755100 |
Business Fax Number: | |
Mailing Address: | 792 Conservation Cir, FAIRBORN |
State: | OH |
Postal Code: | 453244385 |
Phone Number: | 9378795500 |
Fax Number: | |
NPI Enumeration Date: | 05/15/2009 |
NPI Last Update Date: | 05/15/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 000000 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |