Individual
DANIELLE ELIZABETH WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2511 E 3RD ST, DAYTON, OH 45403-2018
(937) 941-1144
Mailing address
2511 E 3RD ST, DAYTON, OH 45403-2018
(937) 941-1144
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
173076.MEDS-IV
OH
Other
Enumeration date
07/23/2020
Last updated
07/23/2020
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