Individual
MONIQUE J WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9834 DENISON AVE, CLEVELAND, OH 44102-4631
(216) 424-0345
Mailing address
9834 DENISON AVE, CLEVELAND, OH 44102-4631
(216) 424-0345
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/28/2025
Last updated
02/28/2025
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