Individual
ANGELICA WILCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18101 LORAIN AVE, CLEVELAND, OH 44111-5612
(216) 476-7000
Mailing address
18101 LORAIN AVE, CLEVELAND, OH 44111-5612
(216) 570-0972
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
0028890
OH
Other
Enumeration date
09/02/2021
Last updated
09/02/2021
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