Individual
MS. JOANNA L WISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
533 W FRANKLIN ST, TROY, OH 45373-2917
(937) 703-5692
Mailing address
533 W FRANKLIN ST, TROY, OH 45373-2917
(937) 703-5692
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
08/15/2023
Last updated
08/15/2023
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