NPI 1073070884

Jacob Dale Masters

Practitioner Meals Provider Dayton, OH

Practice location

Address: 2706 Flowerstone Dr, Dayton, OH 45449-3217
Phone: (937) 422-8598
Mailing address: 2706 Flowerstone Dr, West Carrollton, OH 45449-3217

Registered specialties

Meals Provider Primary

Other Service Providers Taxonomy 174200000X

Other Meals providers in Ohio →

Registry record

NPI: 1073070884
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Feb 2019
Record last updated: 28 Feb 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.