Individual
GLORIA RENEE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
4359 NORTHFIELD RD, APT.201A, WARRENSVILLE HEIGHTS, OH 44128-4676
(216) 799-1095
Mailing address
4359 NORTHFIELD RD, APT.201A, WARRENSVILLE HEIGHTS, OH 44128-4676
(216) 799-1095
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
400211150203
OH
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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