| Panda Recovery Services, Llc | |
|
5330 Heatherdowns Blvd Ste 208 Toledo OH 43614-4644 | |
| (419) 208-9121 | |
| (419) 208-9121 |
| Full Name | Panda Recovery Services, Llc |
|---|---|
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 5330 Heatherdowns Blvd Ste 208, Toledo, Ohio |
| Authorized Official Name and Position | Tameshia Wiggins (PMHNP) |
| Authorized Official Contact | 4192089121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Panda Recovery Services, Llc 5330 Heatherdowns Blvd Ste 208 Toledo OH 43614-4644 Ph: (419) 208-9121 | Panda Recovery Services, Llc 5330 Heatherdowns Blvd Ste 208 Toledo OH 43614-4644 Ph: (419) 208-9121 |
| NPI Number | 1417793639 |
|---|---|
| Provider Enumeration Date | 07/08/2024 |
| Last Update Date | 07/08/2024 |
| Certification Date | 07/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417793639 | NPI | - | NPPES |
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