Individual
TASYA RICARDRA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3445 MINNESOTA AVE SE, WASHINGTON, DC 20019-2356
(240) 392-7050
Mailing address
3445 MINNESOTA AVE SE, WASHINGTON, DC 20019-2356
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
08/13/2020
Last updated
03/30/2023
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