Individual
HIROKO WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
409 FARRELL ST APT 410, SOUTH BURLINGTON, VT 05403-4427
(802) 578-7376
Mailing address
409 FARRELL ST APT 410, SOUTH BURLINGTON, VT 05403-4427
(802) 578-7376
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
026.0139210
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6500708723
—
VT
Enumeration date
09/17/2021
Last updated
09/17/2021
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