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Individual

LANETIA WOOLDRIDGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
13313 N ETNA GREEN DR, CAMBY, IN 46113-8351
(317) 319-8092
Mailing address
13313 N ETNA GREEN DR, CAMBY, IN 46113-8351
(317) 319-8092

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary

Other

Enumeration date
09/19/2014
Last updated
09/19/2014
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