NPI 1023610300

Wonderful Wise

Practitioner Driver Cleveland, OH

Practice location

Address: 2543 E 127th St, Cleveland, OH 44120-1022
Phone: (216) 387-0772

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X

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Registry record

NPI: 1023610300
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Nov 2020
Record last updated: 12 Nov 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.