Individual
WONDERFUL WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2543 E 127TH ST, CLEVELAND, OH 44120-1022
(216) 387-0772
Mailing address
2543 E 127TH ST, CLEVELAND, OH 44120-1022
(216) 387-0772
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
11/12/2020
Last updated
11/12/2020
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