Individual
JESSICA KAY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HM61029496
Contact information
Practice address
1924 VAN WORMER ST, CENTRALIA, WA 98531-1947
(360) 330-2984
Mailing address
113 SW 10TH ST, CHEHALIS, WA 98532-4706
(360) 523-3115
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HM61029496
WA
Other
Enumeration date
12/01/2021
Last updated
12/01/2021
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