Individual
HENRY KOBINA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
900 SUMMIT BLVD APT 30, BISMARCK, ND 58504-5276
(513) 795-9507
Mailing address
900 SUMMIT BLVD APT 30, BISMARCK, ND 58504-5276
(513) 795-9507
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/15/2022
Last updated
08/15/2022
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