Individual
KANDY WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2225 LEFT FRENCH CREEK RD, SAINT MARYS, WV 26170-4515
(304) 684-7666
Mailing address
2225 LEFT FRENCH CREEK RD, SAINT MARYS, WV 26170-4515
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/26/2021
Last updated
02/26/2021
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