Individual
DYANDRA GARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6605 W CENTRAL AVE, TOLEDO, OH 43617-1000
(419) 841-7701
Mailing address
4144 SPRINGBURN DR, TOLEDO, OH 43615-6549
(419) 356-4123
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN115357
OH
Other
Enumeration date
06/14/2016
Last updated
06/14/2016
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