Individual
HANNAH NICOLE WONDERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 RILEY ST APT B, NEWARK, OH 43055-3856
(740) 755-5923
Mailing address
55 RILEY ST APT B, NEWARK, OH 43055-3856
(740) 755-5923
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
OH
Other
Enumeration date
05/06/2024
Last updated
05/06/2024
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