Individual
JESSICA A WILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
1175 MOUNT VIEW RD, COOL RIDGE, WV 25825-9520
(304) 222-6443
Mailing address
1175 MOUNT VIEW RD, COOL RIDGE, WV 25825-9520
(304) 222-6443
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
0810-59899
WV
Other
Enumeration date
11/21/2014
Last updated
11/21/2014
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