Individual
MYANNA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 L ST SE, WASHINGTON, DC 20003-3421
(202) 907-8621
Mailing address
3022 9TH ST SE, WASHINGTON, DC 20032-4227
(202) 907-8621
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
10/14/2020
Last updated
10/14/2020
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