Individual
JESSICA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 S CEDAR AVE, MARSHFIELD, WI 54449-4938
(715) 207-1514
Mailing address
1800 S CEDAR AVE, MARSHFIELD, WI 54449-4938
(715) 207-1514
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
WI
Other
Enumeration date
06/14/2025
Last updated
06/14/2025
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