Individual
GINA MARIE WYMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5738 HOME LN, TOLEDO, OH 43623-1809
(419) 514-3786
Mailing address
5738 HOME LN, TOLEDO, OH 43623-1809
(419) 514-3786
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
PN103363
OH
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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