Individual
MS. DIANNA L WOOTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
427 KENWOOD LN, TRENTON, OH 45067-1117
(513) 594-1514
Mailing address
427 KENWOOD LN, TRENTON, OH 45067-1117
(513) 594-1514
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
130084
OH
Other
Enumeration date
08/03/2012
Last updated
08/03/2012
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