Individual
MR. LEON WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
HHA
Contact information
Practice address
2300 GOOD HOPE RD SE APT 402, WASHINGTON, DC 20020-5103
(202) 577-2738
Mailing address
2300 GOOD HOPE RD SE APT 402, WASHINGTON, DC 20020-5103
(202) 577-2738
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
14574
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
191018-000121
—
DC
Enumeration date
10/18/2019
Last updated
10/18/2019
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