Individual
MARY CAROL WILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
6096 PINECONE DR, MENTOR, OH 44060-1865
(540) 320-6276
Mailing address
9214 JACKSON ST, MENTOR, OH 44060-4441
(540) 320-6276
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4660
OH
Other
Enumeration date
11/28/2016
Last updated
11/28/2016
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