Individual
JANELLA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA/MEDICINE TECH
Contact information
Practice address
1202 KENDALL DR, DURHAM, NC 27703-5235
(919) 884-5141
Mailing address
1202 KENDALL DR, DURHAM, NC 27703-5235
(919) 884-5141
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
373504
NC
372600000X
Adult Companion
373504
NC
374U00000X
Home Health Aide
373504
NC
376J00000X
Homemaker
373504
NC
376K00000X
Nurse's Aide
Primary
373504
NC
Other
Enumeration date
02/03/2014
Last updated
02/03/2014
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