Individual
EDRIS J WILDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
563 FOREDALE AVE, TOLEDO, OH 43609-1321
(419) 460-1008
Mailing address
563 FOREDALE AVE, TOLEDO, OH 43609-1321
(419) 460-1008
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN 276021
OH
Other
Enumeration date
09/08/2008
Last updated
09/08/2008
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