Individual
ANGELA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 198, BLACKSVILLE, WV 26521-0198
(304) 694-3240
Mailing address
6066 MASON DIXON HWY, BLACKSVILLE, WV 26521-8310
(304) 694-3240
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
10/01/2025
Last updated
10/01/2025
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