Individual
WYNTER RAVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2115 W PARK DR, LORAIN, OH 44053-1138
(440) 989-4900
Mailing address
2115 W PARK DR, LORAIN, OH 44053-1138
(440) 989-4900
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
OCPSA.162137
OH
Other
Enumeration date
08/26/2024
Last updated
08/26/2024
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