Individual
CHAKEBA T WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1130 DALLAS RD, CLEVELAND, OH 44108-3325
(216) 288-3567
Mailing address
1130 DALLAS RD, CLEVELAND, OH 44108-3325
(216) 288-3567
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
400093340302
OH
Other
Enumeration date
01/07/2026
Last updated
01/07/2026
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