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Individual
MRS. LISA WILSON- JEFFERSON
Active
Individual
MRS. LISA WILSON- JEFFERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
332U00000X
Home Delivered Meals
—
NULL
343900000X
Non-emergency Medical Transport (VAN)
—
NULL
385HR2065X
Child Physical Disabilities Respite Care
—
NULL
Other
Enumeration date
09/22/2015
Last updated
06/11/2019
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