Individual
ELISHA NICOLE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12604 KING ARTHUR CT, GLENN DALE, MD 20769-8911
(240) 245-7487
Mailing address
12604 KING ARTHUR CT, GLENN DALE, MD 20769-8911
(240) 245-7487
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
11/29/2021
Last updated
11/30/2021
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