Individual
DAMITRIA DENISE LANGSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3743 BOWEN RD, TOLEDO, OH 43613-4826
(419) 322-9022
Mailing address
3743 BOWEN RD, TOLEDO, OH 43613-4826
(419) 322-9022
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
122266
OH
Other
Enumeration date
06/10/2022
Last updated
06/10/2022
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