Individual
MISS GENEVIEVE WICKHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4888 MASSILLON RD APT 12, NORTH CANTON, OH 44720-1456
(330) 591-0312
Mailing address
4888 MASSILLON RD APT 12, NORTH CANTON, OH 44720-1456
(330) 591-0312
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
03/24/2025
Last updated
03/24/2025
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