Individual
LEOLA DANEILLE WATERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
494 S NAPOLEON AVE, COLUMBUS, OH 43213-2259
(330) 957-1066
Mailing address
494 S NAPOLEON AVE, COLUMBUS, OH 43213-2259
(330) 957-1066
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
08/04/2014
Last updated
08/04/2014
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