DEJA BUSH

Student in an Organized Health Care Education/Training Program

Active Individual
NPI: 1104659077

Practice Address

3640 COLONEL GLENN HWY
Dayton, OH 45435

Phone: (937) 775-1000

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X Yes -

Frequently Asked Questions

NPI 1104659077 is the National Provider Identifier for DEJA BUSH, a Student in an Organized Health Care Education/Training Program provider located in Dayton, OH. This NPI was enumerated on August 24, 2024.
DEJA BUSH practices at 3640 COLONEL GLENN HWY, Dayton, OH 45435.

Quick Facts

NPI
1104659077
Type
Individual
Enumerated
Aug 24, 2024
Last Updated
Sep 14, 2024