Provider Demographics
NPI:1669777454
Name:WOODS-MILLER, YOLANDA ALEASE
Entity type:Individual
Prefix:MRS
First Name:YOLANDA
Middle Name:ALEASE
Last Name:WOODS-MILLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:YOLANDA
Other - Middle Name:ALEASE
Other - Last Name:WOODS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4602 MIDWAY AVE
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45417-1354
Mailing Address - Country:US
Mailing Address - Phone:937-723-9280
Mailing Address - Fax:
Practice Address - Street 1:4602 MIDWAY AVE
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45417-1354
Practice Address - Country:US
Practice Address - Phone:937-723-9280
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-25
Last Update Date:2011-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker