Individual
JACKLYN MARIE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HHA
Contact information
Practice address
1352 JASPER PL SE APT 103, WASHINGTON, DC 20020-2948
(202) 271-6137
Mailing address
1352 JASPER PL SE APT 103, WASHINGTON, DC 20020-2948
(202) 271-6137
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
DC
374U00000X
Home Health Aide
—
—
Other
Enumeration date
03/30/2012
Last updated
09/14/2024
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