Individual
MS. SHAYLA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2918 MINNESOTA AVE SE, WASHINGTON, DC 20019-1127
(202) 248-2992
Mailing address
2819 MINNESOTA AVE SE, WASHINGTON, DC 20019-7757
(202) 248-2992
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/09/2024
Last updated
01/09/2024
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