Search › Ohio › 174400000X
Jeanne Wagoner
NPI 1760880314 · on the registry since 2014 · sole proprietor
Practice
- Address
- 2400 Roxboro Rd
Cleveland Hts, OH 44106 - Phone
- (216) 320-3136
Registry record
- Primary taxonomy
- 174400000X
174400000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-12-15
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