Individual
MRS. BRENDA JOYCE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
791 E 156TH ST, CLEVELAND, OH 44110-3069
(216) 851-0415
(216) 851-0415
Mailing address
791 E 156TH ST, CLEVELAND, OH 44110-3069
(216) 851-0415
(216) 851-0415
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
401618880314
OH
Other
Enumeration date
05/29/2014
Last updated
05/29/2014
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