Individual
JOHNATHAN WYATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
116 WASHBURN RD, TALLMADGE, OH 44278-2612
(234) 529-6511
Mailing address
116 WASHBURN RD, TALLMADGE, OH 44278-2612
(234) 529-6511
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/22/2024
Last updated
01/22/2024
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