Individual
CAROLYN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3052 BALCONES FAULT AVE, N LAS VEGAS, NV 89081-6409
(702) 325-4243
Mailing address
3052 BALCONES FAULT AVE, N LAS VEGAS, NV 89081-6409
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
11/14/2019
Last updated
06/22/2022
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