| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ZA'RIYA ALEXANDRIA RICHARDSON WYNN | 1508533324 | 2021-10-10 |
Za'riya Alexandria Richardson Wynn is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1508533324. Registration indicates Za'riya Alexandria Richardson Wynn is a provider of services with a specialization in Other Service Providers, Case Manager/Care Coordinator (Case Manager/Care Coordinator, ) (All Other Specialties & Provider Types, ) (Case Manager/Care Coordinator, Other Service Providers)
| Entity Type | Individual |
| Provider Name | Za'riya Alexandria Richardson Wynn PHLEBOTOMIST |
| Practice Office Address | 7232 JUSTIN WAY MENTOR, OH US |
| Practice Office Telephone | 4407542078 |
| Mailing Address | 7232 JUSTIN WAY MENTOR, OH 440604881 US |
| Business Telephone | 4407542078 |
| Code | Practice | License No State |
|---|---|---|
| 171M00000X PRIMARY | Other Service Providers Case Manager/Care Coordinator Case Manager/Care Coordinator All Other Specialties & Provider Types Case Manager/Care Coordinator Other Service Providers |
| 0457464 | MEDICAID | OH |