Individual
MS. KIANTRE NICHELLE WOODS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
420 W JUDSON AVE, YOUNGSTOWN, OH 44511-3252
(330) 519-2886
Mailing address
420 W JUDSON AVE, YOUNGSTOWN, OH 44511-3252
(330) 519-2886
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
401966360517
OH
Other
Enumeration date
05/11/2020
Last updated
05/11/2020
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