Individual
LANIECE E WARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HHP
Contact information
Practice address
4068 GALLATIN DR, OBETZ, OH 43207-4391
(844) 257-9399
Mailing address
4068 GALLATIN DR, OBETZ, OH 43207-4391
(844) 257-9399
Taxonomy
Speciality
Code
Description
License number
State
374K00000X
Religious Nonmedical Practitioner
Primary
—
—
Other
Enumeration date
02/19/2021
Last updated
02/19/2021
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