Female

Theresa L. Conyers

Contractor in Dayton, OH(View on Map)

Full Name

Theresa Lynn Conyers

NPI Number

1841807435

NPI Type

Individual Provider

Gender

Female

Enumeration Date

09/28/2020

Specialties

(Taxonomies)

Code

171W00000X

Primary Taxonomy

Yes

Licenses

State

Ohio

License Number

RR627109

Contact
Information

Purpose

Mailing
Location

Address

3701 WALES DR
3701 WALES DR

City

Dayton
Dayton

State

OH
OH

Postal Code

45405-1848
45405-1848

Country

US
US

Telephone Number

(937) 620-4321
(937) 620-4321

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 09/28/2020

Provider Address

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