MRS. Wanda S Sutherland, INDEPENDENT PROVIDER

NPI #1326653403 in Port Clinton, Ohio

Provider Information

NPI Number: 1326653403
Entity Type: Individual
Name: MRS. Wanda S Sutherland, INDEPENDENT PROVIDER
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Homemaker
Credential: INDEPENDENT PROVIDER
Enumeration Date: Sep 15, 2020
Last Updated: Sep 15, 2020

Practice Location

Address: 413 ERIE CT
City: Port Clinton
State: Ohio
ZIP Code: 43452-1612
Phone: (706) 264-6282

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Homemaker	376J00000X	Primary

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