Individual
MRS. ALICIA K WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1035 COUNTRY RD 1, APT 253, SOUTH POINT, OH 45680
(740) 377-9508
Mailing address
4770 COUNTY RD 6, KITTS HILL, OH 45645
(740) 533-0076
(740) 643-0935
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2559208
ODJFS
OH
Enumeration date
05/10/2007
Last updated
07/08/2007
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