SearchOhio171M00000X

Mia Wilborn

NPI 1679248512 · on the registry since 2021

Practice

Address
1960 E County Line Rd
Mineral Ridge, OH 44440
Phone
(330) 596-1042
Organisation at this address
I Am Boundless, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
16

Registry record

Primary taxonomy
171M00000X
171M00000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-08-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio