Individual
KATHLEEN WIESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5203 GRANTWOOD DR, PARMA, OH 44134-3767
(440) 842-6616
Mailing address
5203 GRANTWOOD DR, PARMA, OH 44134-3767
(440) 842-6616
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
RN558711
OH
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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