Individual
VINA J WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
259 PARKERS MILL RD, SOMERSET, KY 42501-3152
(606) 679-7348
(606) 679-4097
Mailing address
130 SOUTHERN SCHOOL RD, SOMERSET, KY 42501-3223
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/02/2016
Last updated
09/13/2019
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