Individual
CARLISSA WEIKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 UNION ST, MOUNT VERNON, OH 43050-4638
(419) 565-2483
Mailing address
1 UNION ST, MOUNT VERNON, OH 43050-4638
(419) 565-2483
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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