Individual
DELORES WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3450 EAST 154TH, CLEVELAND, OH 44120
(216) 970-9043
Mailing address
3450 EAST 154TH, CLEVELAND, OH 44120
(216) 970-9043
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
OH
Other
Enumeration date
02/25/2021
Last updated
02/25/2021
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