Individual
ROGINA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
299 SEDGEFIELD DR, RAEFORD, NC 28376-8925
(910) 779-7306
Mailing address
7711 S RAEFORD RD STE 102,105, FAYETTEVILLE, NC 28304
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
S9S4T3H8
NC
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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