Individual
QUANITA A WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1806 14TH ST SE, WASHINGTON, DC 20020-6922
(202) 276-5680
Mailing address
1806 14TH ST SE, WASHINGTON, DC 20020-6922
(202) 276-5680
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
03/02/2019
Last updated
03/02/2019
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