Search › Ohio › 101YM0800X
Deitra Wilson
NPI 1700697919 · on the registry since 2025 · sole proprietor
Practice
- Address
- 24100 Chargin Blvd
Suite 250
Beachwood, OH 44122 - Phone
- (440) 343-8069
- Fax
- (440) 264-1990
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-01-16
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