Individual
MRS. LUZVELINDA M WILSON
Active
Individual
MRS. LUZVELINDA M WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
1-160072
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-160072
CCFFH LICENSE NUMBER
HI
Enumeration date
11/04/2016
Last updated
11/04/2016
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