Individual provider · Type 1 NPI

Deja Icelyn Bush

Student in an Organized Health Care Education/Training Program · Dayton, OH

NPI number 1104659077 Active

Practice location

3640 Colonel Glenn Hwy
Dayton, OH 45435-0001

Call (937) 775-1000 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1104659077

Deja Icelyn Bush's National Provider Identifier is 1104659077, issued on Aug 24, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Dayton, OH. The record was last updated on Sep 14, 2024.