Individual
ELIZABETH WYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2216 DIXIE HWY, FORT MITCHELL, KY 41017-2965
(859) 412-7484
Mailing address
963 MARION AVE, CINCINNATI, OH 45229-1924
(513) 616-7531
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
Primary
07091970
OH
Other
Enumeration date
10/13/2023
Last updated
10/13/2023
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