Individual
DWANNA LANE MUNGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
4628 CAROL DR, YELLOW SPRINGS, OH 45387-9702
(937) 244-5674
Mailing address
4628 CAROL DR, YELLOW SPRINGS, OH 45387-9702
(937) 244-5674
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R.N. 353264
OH
Other
Enumeration date
04/21/2015
Last updated
04/21/2015
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