Individual
VAGIE L WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10947 BELLFLOWER CT, INDIANAPOLIS, IN 46235-9796
(317) 374-6062
Mailing address
10947 BELLFLOWER CT, INDIANAPOLIS, IN 46235-9796
(317) 374-6062
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
24-017526
IN
Other
Enumeration date
11/25/2024
Last updated
11/25/2024
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