Individual
MRS. CRYSTAL ANN WONDERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
707 W PARK DR, FOSTORIA, OH 44830-1664
(419) 619-2799
Mailing address
707 W PARK DR, FOSTORIA, OH 44830-1664
(419) 619-2799
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
09/24/2021
Last updated
09/24/2021
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