Leola Daneille Waters

NPI #1073922191 in Columbus, Ohio

Provider Information

NPI Number: 1073922191
Entity Type: Individual
Name: Leola Daneille Waters
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Adult Companion
Enumeration Date: Aug 4, 2014
Last Updated: Aug 4, 2014

Practice Location

Address: 494 S NAPOLEON AVE
City: Columbus
State: Ohio
ZIP Code: 43213-2259
Phone: (330) 957-1066

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Adult Companion	372600000X	Primary

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