Individual
WENDY WIEDERHOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
2380 LEBANON RD, CLARKSVILLE, OH 45113-8326
(937) 289-2515
(937) 289-3608
Mailing address
2380 LEBANON RD, CLARKSVILLE, OH 45113-8326
(937) 289-2515
(937) 289-3608
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN246006
OH
Other
Enumeration date
02/12/2014
Last updated
02/12/2014
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