Individual
JUANITA DEAN-WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4266 E 151ST ST, CLEVELAND, OH 44128-1907
(216) 785-9602
Mailing address
4266 E 151ST ST, CLEVELAND, OH 44128-1907
(216) 785-9602
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
3099365
OH
Other
Enumeration date
04/04/2018
Last updated
04/04/2018
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