Individual
MIA ALEXIS WILBORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
600 W ST NW # 2005, WASHINGTON, DC 20059-1022
(202) 806-0007
Mailing address
13103 ROCKPOINTE CT, CLIFTON, VA 20124-0961
(808) 754-5193
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/08/2026
Last updated
04/08/2026
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