Individual provider · NPI-1

Wanda Lee Adams, lpn

Licensed Practical Nurse · Cleveland, OH

NPI number1447523311
StatusActive
Last updated in NPPESFeb 22, 2012

Details

NPI
1447523311
Entity type
Individual (NPI-1)
Name
Mrs. Wanda Lee Adams
Credential
lpn
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 22, 2012
Last updated
Feb 22, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical Nurse107646OHYes

Practice location

12813 Benham Ave
Cleveland, OH 44105-1921

Phone 216-544-8163

Mailing address

12813 Benham Ave
Cleveland, OH 44105-1921

Phone 216-544-8163

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