Individual
DAPHENE R WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1957 HOMEWOOD DR, LORAIN, OH 44055-2617
(216) 780-1142
Mailing address
1957 HOMEWOOD DR, LORAIN, OH 44055-2617
(216) 780-1142
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/28/2025
Last updated
05/28/2025
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