Individual
CALEB WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
510 FULTON ST, FAIRMONT, WV 26554-1929
(725) 218-0317
Mailing address
510 FULTON ST, FAIRMONT, WV 26554-1929
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
11/19/2024
Last updated
11/19/2024
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