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Individual

DANIELLE WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
434 HANNAN TRACE RD, GLENWOOD, WV 25520-9387
(304) 942-8395
Mailing address
434 HANNAN TRACE RD, GLENWOOD, WV 25520-9387

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary

Other

Enumeration date
06/06/2025
Last updated
06/06/2025
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