Individual
JONATHAN O. WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1328 TALON RD, BISMARCK, ND 58503-9400
(301) 393-7549
Mailing address
1328 TALON RD, BISMARCK, ND 58503-9400
(301) 393-7549
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
08/23/2021
Last updated
08/23/2021
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