Individual
DANEA KAYUNA WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N/A
Contact information
Practice address
7073 KENNARD RD, SEVILLE, OH 44273-8822
(330) 474-9483
Mailing address
7073 KENNARD RD, SEVILLE, OH 44273-8822
(330) 474-9483
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
09/01/2023
Last updated
09/01/2023
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