Individual
MS. BARBARA ANN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2114 GRANT ST, PORTSMOUTH, OH 45662-3733
(740) 876-9059
Mailing address
2114 GRANT ST, PORTSMOUTH, OH 45662
(740) 876-9059
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
375570950397
OH
Other
Enumeration date
04/26/2012
Last updated
04/28/2012
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