Individual
MRS. ROSHEIKA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
114 CHARTER OAK DR, CLAYTON, NC 27520-4905
(919) 208-8434
Mailing address
114 CHARTER OAK DR, CLAYTON, NC 27520-4905
(919) 208-8434
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
89823
NC
Other
Enumeration date
11/04/2020
Last updated
11/04/2020
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