Damitra Lynn Captain

NPI #1770339392 in Hillsboro, Ohio

Provider Information

NPI Number: 1770339392
Entity Type: Individual
Name: Damitra Lynn Captain
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Homemaker
Enumeration Date: Apr 25, 2024
Last Updated: Apr 25, 2024

Practice Location

Address: 200 STARCREST DR STE 304
City: Hillsboro
State: Ohio
ZIP Code: 45133-6878
Phone: (937) 402-0689

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Homemaker	376J00000X	Primary

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