Individual
MRS. SHAREN CARIZO WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
8901 ROCKVILLE PIKE, BETHESDA, MD 20889-2722
(301) 295-4000
Mailing address
11114 HILLSDALE DR, KENSINGTON, MD 20895-1903
(240) 566-6316
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/28/2016
Last updated
05/04/2022
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