Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156FX1101X | Ophthalmic Assistant | 78113 | OH |
NPI | 1144454448 |
---|---|
Provider Name | Tracy L Winans |
First Address | Dayton, OH 45409-1962 |
Second Address | Dayton, OH 45409-1962 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2009 |
Last Update Date | 14/05/2009 |