Individual
CARRIE WILMOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
579 EASTWOOD AVE, TALLMADGE, OH 44278-3128
(234) 738-6037
(234) 231-1267
Mailing address
579 EASTWOOD AVE, TALLMADGE, OH 44278-3128
(234) 738-6037
(234) 231-1267
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
RQ067195
OH
3747P1801X
Personal Care Attendant
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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