Individual
CAROLINE ELAINE WILBON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CERTIFIED NURSE ASSI
Contact information
Practice address
6749 FULTON ST E STE A, ADA, MI 49301-8102
(866) 878-0117
Mailing address
3920 COURTYARD PL SE, GRAND RAPIDS, MI 49546-7631
(616) 550-2455
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/03/2024
Last updated
04/03/2024
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