Individual
CHRISTINE N WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6616 FLAGSTAFF ST, HYATTSVILLE, MD 20785-4968
(301) 802-9443
Mailing address
6616 FLAGSTAFF ST, HYATTSVILLE, MD 20785-4968
(301) 802-9443
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA14467
DC
Other
Enumeration date
07/12/2019
Last updated
07/12/2019
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