Individual
JENALISA CORINNE LANGFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2200 MIAMI VALLEY DR, DAYTON, OH 45459-4783
(937) 668-7873
Mailing address
2200 MIAMI VALLEY DR, DAYTON, OH 45459-4783
(937) 668-7873
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.354369
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0178903
—
OH
Enumeration date
04/01/2020
Last updated
04/01/2020
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