MISS Ivory Grace Dudley-Wilson
NPI #1093458093 in Maple Heights, Ohio
Provider Information
- NPI Number
- 1093458093
- Entity Type
- Individual
- Name
- MISS Ivory Grace Dudley-Wilson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Non-emergency Medical Transport (VAN)
- Enumeration Date
- Apr 18, 2022
- Last Updated
- Apr 25, 2022
Practice Location
- Address
- 19617 NITRA AVE
- City
- Maple Heights
- State
- Ohio
- ZIP Code
- 44137-1708
- Phone
- (216) 532-4919
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-emergency Medical Transport (VAN) |
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