Individual
RACHELLE NICOLE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
313 JACQUETTE ST, BRIDGEPORT, OH 43912-1011
(740) 296-4910
Mailing address
313 JACQUETTE ST, BRIDGEPORT, OH 43912-1011
(740) 296-4910
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
12/07/2020
Last updated
12/07/2020
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