Individual
DIONIA LARAINE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
548 CONSTITUTION CIR, CLAIRTON, PA 15025-1008
(724) 506-0071
Mailing address
548 CONSTITUTION CIR, CLAIRTON, PA 15025-1008
(724) 506-0071
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/02/2020
Last updated
07/02/2020
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