Provider Demographics
NPI:1154032019
Name:DAHLIN, JOCELYN MARIE
Entity type:Individual
Prefix:
First Name:JOCELYN
Middle Name:MARIE
Last Name:DAHLIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2604 WAYNE AVE
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45420-1834
Mailing Address - Country:US
Mailing Address - Phone:209-204-2925
Mailing Address - Fax:
Practice Address - Street 1:2604 WAYNE AVE
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45420-1834
Practice Address - Country:US
Practice Address - Phone:209-204-2925
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-12
Last Update Date:2022-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care