Individual
MRS. BRITTANY FAITH WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3520 GREENBRIER CREEK RD, FORT GAY, WV 25514-7306
(304) 272-6832
Mailing address
3520 GREENBRIER CREEK RD, FORT GAY, WV 25514-7306
(304) 272-6832
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
I318781
—
WV
Enumeration date
08/19/2020
Last updated
08/19/2020
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