Individual
KELLY JO WANDERSEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCMA,CNA
Contact information
Practice address
541 MILTON ST APT 2, TOLEDO, OH 43605-2669
(419) 508-6822
Mailing address
2029 NEVADA ST, TOLEDO, OH 43605-2810
(419) 598-6822
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
—
OH
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
06/03/2024
Last updated
06/03/2024
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