Individual
MARCIA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6433 DURBAN RD, CENTERVILLE, OH 45459-2935
(937) 602-1349
Mailing address
6433 DURBAN RD, CENTERVILLE, OH 45459-2935
(937) 602-1349
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
09/13/2021
Last updated
09/13/2021
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