Individual
SELETTA MONIQUE WOODS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
416 FERNDALE AVE, YOUNGSTOWN, OH 44511-3206
(330) 787-7879
Mailing address
416 FERNDALE AVE, YOUNGSTOWN, OH 44511-3206
(330) 787-7879
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
0075087
OH
376K00000X
Nurse's Aide
501093730406
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0075087
—
OH
Enumeration date
04/04/2013
Last updated
04/04/2013
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