Individual
MRS. JOAN T WATERWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
2345 PHILADELPHIA DR, DAYTON, OH 45406-1816
(937) 276-4141
(937) 277-7249
Mailing address
2345 PHILADELPHIA DR, DAYTON, OH 45406-1816
(937) 276-4141
(937) 277-7249
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
173541
OH
Other
Enumeration date
05/11/2011
Last updated
05/11/2011
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