CHANEL LENISE WILSON

EUCLID, OH
NPI1164661278
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OH  PN.118035-IV)
Enumeration Date2009-02-12
Last Update Date2009-02-12
Business Address
-- CHANEL LENISE WILSON
19501 MONTEREY AVE
EUCLID, OH 44119-1506
Phone number: 216-338-1315
Mailing Address
-- CHANEL LENISE WILSON
19501 MONTEREY AVE
EUCLID, OH 44119-1506
Phone number: 216-338-1315