Individual
CHERYL A WYSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
20-249 STATE HIGHWAY 6, RIDGEVILLE CORNERS, OH 43555-0103
(419) 956-1224
Mailing address
20-29 STATE HWY 6, RIDGEVILLE CORNERS, OH 43555-0103
(419) 956-1224
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
401390490512
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0079858
—
OH
Enumeration date
10/26/2016
Last updated
10/26/2016
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