Individual
MICHELE MARLENE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3900 RHODES AVE, PORTSMOUTH, OH 45662-4974
(740) 464-0981
Mailing address
1647 JACKSON ST, PORTSMOUTH, OH 45662-4424
(740) 352-2306
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
12/10/2024
Last updated
12/10/2024
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