Keosha Lynetta Wiley

NPI #1144897646 in Euclid, Ohio

Provider Information

NPI Number
1144897646
Entity Type
Individual
Name
Keosha Lynetta Wiley
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Jun 4, 2021
Last Updated
Jun 4, 2021

Practice Location

Address
18930 PASNOW AVE
City
Euclid
State
Ohio
ZIP Code
44119
Phone
(440) 454-0413

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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