Individual
DIANA J WILDERMUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
637 WASHINGTON AVE, LANCASTER, OH 43130-2446
(740) 974-9245
Mailing address
337 WYANDOTTE ST, LANCASTER, OH 43130-3946
(740) 304-2437
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/20/2022
Last updated
01/20/2022
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