Individual
DANIELLE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
652 MAIN ST, BARBOURSVILLE, WV 25504-1439
(304) 302-0707
Mailing address
2673 DAVISSON RUN RD, CLARKSBURG, WV 26301-6838
(681) 342-3200
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
37648
WV
Other
Enumeration date
08/09/2021
Last updated
02/24/2025
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