Individual
ELENA CHRISTINE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1235 POTOMAC VALLEY RD, ROCKVILLE, MD 20850-2757
(301) 762-0700
Mailing address
1235 POTOMAC VALLEY RD, ROCKVILLE, MD 20850-2757
(301) 762-0700
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP28225
MD
Other
Enumeration date
04/24/2009
Last updated
04/24/2009
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