Individual
DAVIDETTA NOODY HAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23434 OLMSTED DR, NORTH OLMSTED, OH 44070-1420
(609) 418-1994
Mailing address
23434 OLMSTED DR, NORTH OLMSTED, OH 44070-1420
(609) 418-1994
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
323051461119
OH
Other
Enumeration date
07/17/2025
Last updated
07/17/2025
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