Individual
JANINE WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4453 MARLOWE ST, DAYTON, OH 45416-1820
(937) 389-1510
Mailing address
4453 MARLOWE ST, DAYTON, OH 45416-1820
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
140862
OH
Other
Enumeration date
09/12/2010
Last updated
09/12/2010
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