Individual
DONZELLE WYATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
444 W MANHATTAN BLVD, TOLEDO, OH 43608-1025
(419) 984-5924
Mailing address
444 W MANHATTAN BLVD, TOLEDO, OH 43608-1025
(419) 984-5924
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.175877
OH
Other
Enumeration date
12/08/2021
Last updated
12/08/2021
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