Individual
MS. DEBRA L WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3850 FAVERSHAM RD, UNIVERSITY HEIGHTS, OH 44118-3730
(216) 321-6992
Mailing address
3850 FAVERSHAM ROAD, UNIVERSITY HEIGHTS, OH 44118-3720
(216) 321-6992
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN300026
OH
Other
Enumeration date
06/25/2009
Last updated
06/25/2009
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