Individual
JANINE WILKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11530 COLCHESTER LN, CHAGRIN FALLS, OH 44023-9315
(440) 382-0266
Mailing address
11530 COLCHESTER LN, CHAGRIN FALLS, OH 44023-9315
(440) 382-0266
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
32.019181
OH
Other
Enumeration date
10/15/2015
Last updated
10/15/2015
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