Individual
ALEXIS WANNEMACHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3728 SHALLOWAY DR, LIMA, OH 45806-1565
(419) 234-8165
Mailing address
PO BOX 128, OTTOVILLE, OH 45876-0128
(419) 204-8534
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.464267
OH
Other
Enumeration date
11/26/2024
Last updated
11/26/2024
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