Individual
CARRIE SUE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4308 LESTON AVE, DAYTON, OH 45424-5945
(937) 207-1268
Mailing address
4308 LESTON AVE, DAYTON, OH 45424-5945
(937) 207-1268
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
08/30/2021
Last updated
05/31/2024
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