Individual
DEJA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4830 MELBOURNE RD, BALTIMORE, MD 21229-4415
(667) 229-9516
Mailing address
4830 MELBOURNE RD, BALTIMORE, MD 21229-4415
(667) 229-9516
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
A00203601
MD
Other
Enumeration date
02/28/2025
Last updated
02/28/2025
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