Individual
HOLLY NICOLE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
368 CAROL LN, MARION, OH 43302-5074
(740) 244-0039
Mailing address
PO BOX 74, MARION, OH 43301-0074
(740) 244-0039
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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