Individual
RACHELLE K WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
52 MARSH FORK HLW RD, MATHENY, WV 24860
(304) 923-9499
Mailing address
PO BOX 484, CYCLONE, WV 24827-0484
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
106499
WV
Other
Enumeration date
07/01/2025
Last updated
07/01/2025
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