Individual
DOROTHY L WISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19151 S LAKE SHORE BLVD, EUCLID, OH 44119-1138
(440) 525-1692
Mailing address
19151 S LAKE SHORE BLVD, EUCLID, OH 44119-1138
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
OH
376J00000X
Homemaker
—
—
Other
Enumeration date
08/18/2023
Last updated
08/18/2023
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