Individual
CHRISTINE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
25370 GLENBROOK BLVD, EUCLID, OH 44117-1818
(216) 703-0627
Mailing address
25370 GLENBROOK BLVD, EUCLID, OH 44117-1818
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
163752
OH
Other
Enumeration date
02/10/2017
Last updated
02/10/2017
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