Lanetia Wooldridge

NPI #1558763698 in Camby, Indiana

Provider Information

NPI Number: 1558763698
Entity Type: Individual
Name: Lanetia Wooldridge
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Health Worker
Enumeration Date: Sep 19, 2014
Last Updated: Sep 19, 2014

Practice Location

Address: 13313 N ETNA GREEN DR
City: Camby
State: Indiana
ZIP Code: 46113-8351
Phone: (317) 319-8092

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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