Dwayne Wilson

NPI #1891192894 in Euclid, Ohio

Provider Information

NPI Number: 1891192894
Entity Type: Individual
Name: Dwayne Wilson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Registered Nurse
Enumeration Date: Nov 19, 2014
Last Updated: Nov 19, 2014

Practice Location

Address: 24455 LAKE SHORE BLVD
Address 2: APT. 1818
City: Euclid
State: Ohio
ZIP Code: 44123-1273
Phone: (216) 502-0246

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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