Individual
KERIA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2512 24TH ST NE, WASHINGTON, DC 20018-2126
(202) 832-8340
Mailing address
2321 GOOD HOPE CT SE APT 402, WASHINGTON, DC 20020-3689
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
HHA7436
DC
Other
Enumeration date
12/24/2013
Last updated
12/24/2013
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