Individual
CLARISSA KIANDE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HHA
Contact information
Practice address
13803 CASTLE BLVD, APT. 41, SILVER SPRING, MD 20904-7310
(240) 644-2501
Mailing address
13803 CASTLE BLVD, APT. 41, SILVER SPRING, MD 20904-7310
(240) 644-2501
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
03/29/2012
Last updated
03/29/2012
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