Most Relevant Information
Provider Data
| NPI Number: | 1003403957 |
| Provider Name: | TERESA MARIE WANIEWSKI |
| Entity Type: | Individual |
| Taxonomy Code: | 376J00000X |
| Specialty: | Homemaker |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/27/2020 |
| Last Updated: | 12/27/2020 |
Provider Practice Location
283 MONT ROYAL DR
TOLEDO
OH
436081150
Practice Location Phone/Fax
| Phone: | 4193563162 |
| Fax: |
Provider Mailing Location
634 COELI DR
TOLEDO
OH
436123309
Provider Mailing Phone/Fax
| Phone: | 4193676597 |
| Fax: |