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Individual

IKEA WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
314 RALEIGH ST SE, WASHINGTON, DC 20032-1678
(202) 610-3129
Mailing address
314 RALEIGH ST SE, WASHINGTON, DC 20032-1678

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary

Other

Enumeration date
03/09/2023
Last updated
03/09/2023
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Product
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  • Eligibility checks
  • EDI platform