Individual
PATRINA ELAINE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
114 WAYNE PL SE APT 408, WASHINGTON, DC 20032-6176
(314) 258-3124
Mailing address
1125 GLACIER AVE, CAPITOL HEIGHTS, MD 20743-5905
(302) 493-9052
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
1813015
DE
Other
Enumeration date
11/29/2023
Last updated
11/29/2023
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