Individual
AMBER NICOLE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20467 ROUTE 152, GENOA, WV 25517-7908
(304) 981-5135
Mailing address
20467 ROUTE 152, GENOA, WV 25517-7908
(304) 981-5135
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
05/12/2026
Last updated
05/12/2026
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