Individual
MRS. DWANA SHANEE WOULLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4675 OLD SALEM RD, ENGLEWOOD, OH 45322-2509
(937) 572-7131
Mailing address
4675 OLD SALEM RD, ENGLEWOOD, TERRITORY 45322
(937) 572-7131
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
116003
OH
Other
Enumeration date
03/05/2013
Last updated
03/05/2013
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