Individual
MS. TAWANA ANGEL WAITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
6355 CENTURY CITY N APT 9, REYNOLDSBURG, OH 43068-2780
(614) 260-8122
Mailing address
6355 CENTURY CITY N APT 9, REYNOLDSBURG, OH 43068-2780
(614) 260-8122
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
376152950497
OH
Other
Enumeration date
04/05/2011
Last updated
04/05/2011
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