Individual
BETH WISSINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10704 GREEN RD, WAKEMAN, OH 44889-9639
(440) 371-6141
Mailing address
10704 GREEN RD, WAKEMAN, OH 44889-9639
(440) 371-6141
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
09/05/2024
Last updated
09/05/2024
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