Individual
ANGELA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9906 YALE AVE, CLEVELAND, OH 44108-2158
(216) 240-1705
(440) 942-2025
Mailing address
9906 YALE AVE, CLEVELAND, OH 44108-2158
(216) 240-1705
(440) 942-2025
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
400200120103
OH
Other
Enumeration date
05/21/2010
Last updated
05/21/2010
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