Individual
TINA M WILD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4113 COLUMBIANA RD, NEW SPRINGFIELD, OH 44443
(330) 565-4684
Mailing address
4113 COLUMBIANA RD, NEW SPRINGFIELD, OH 44443
(330) 565-4684
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/11/2024
Last updated
03/11/2024
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