Individual
SHALOM WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
126 TIDE MILL LN APT A, HAMPTON, VA 23666-2720
(443) 985-4412
Mailing address
126 TIDE MILL LN APT A, HAMPTON, VA 23666-2720
(443) 985-4412
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/13/2026
Last updated
04/13/2026
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