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Individual

TASHIONNA MABLE WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNA

Contact information

Practice address
876 W HERITAGE DR, COLUMBUS, OH 43213-3112
(614) 398-1241
Mailing address
876 W HERITAGE DR, COLUMBUS, OH 43213-3112
(614) 398-1241

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
601979320623
OH

Other

Enumeration date
01/06/2023
Last updated
07/20/2023
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