Individual
THOMASENE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
615 SAINT GEORGE SQUARE CT, WINSTON SALEM, NC 27103-1356
(252) 478-7426
(252) 478-3713
Mailing address
PO BOX 1690, SPRING HOPE, NC 27882-1690
(252) 478-7426
(252) 478-3713
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/03/2020
Last updated
06/03/2020
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