Individual
IYANA WOODS-WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1928 DREXEL AVE, FORT WAYNE, IN 46806-3877
(219) 999-8477
Mailing address
1928 DREXEL AVE, FORT WAYNE, IN 46806-3877
(219) 999-8477
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
23-015332-1
IN
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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