Individual
CHEVON MARIE WISEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2835 JARED PL, COLUMBUS, OH 43219
(614) 260-8686
Mailing address
2835 JARED PL, COLUMBUS, OH 43219-5005
(614) 260-8686
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
374920980795
OH
Other
Enumeration date
08/23/2017
Last updated
07/21/2022
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