Most Relevant Information
Provider Data
| NPI Number: | 1003362419 |
| Provider Name: | MARY WISHNESKY |
| Entity Type: | Individual |
| Taxonomy Code: | 374U00000X |
| Specialty: | Home Health Aide |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/27/2016 |
| Last Updated: | 08/27/2016 |
Provider Practice Location
9014 ANSONIA AVE
BROOKLYN
OH
441442511
Practice Location Phone/Fax
| Phone: | 2166472122 |
| Fax: |
Provider Mailing Location
9014 ANSONIA AVE
BROOKLYN
OH
441442511
Provider Mailing Phone/Fax
| Phone: | 2166472122 |
| Fax: |