Individual
MRS. GWENDOLYN L. WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
8393 N. MAIN ST., STE B, DAYTON, OH 45415
(937) 397-5840
Mailing address
8393 N. MAIN ST., SUITE B, DAYTON, OH 45415
(937) 397-5840
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33010282
OH
Other
Enumeration date
08/04/2010
Last updated
08/04/2010
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