Individual
KEONNA NICOLE WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
931 DEBBIE CT, DAYTON, OH 45415-2120
(313) 236-3802
Mailing address
7810 WATERTON CT, DAYTON, OH 45426-3833
(313) 236-3802
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
401086010510
OH
Other
Enumeration date
04/06/2023
Last updated
04/06/2023
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