Individual
MISS BRITTANI NOELLE WILKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11014 PARKEDGE DR, CLEVELAND, OH 44104-5722
(216) 205-4594
Mailing address
11014 PARKEDGE DR, CLEVELAND, OH 44104-5722
(216) 205-4594
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
402078200618
OH
Other
Enumeration date
12/06/2018
Last updated
12/06/2018
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