Individual
GWENDOLYN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8880 WARD ST, DETROIT, MI 48228-2610
(313) 934-0811
(313) 931-2950
Mailing address
8880 WARD ST, DETROIT, MI 48228-2610
(313) 934-0811
(313) 931-2950
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
MI
Other
Enumeration date
10/31/2006
Last updated
07/08/2007
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