Individual
PENELOPE S WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1504 S OHIO AVE, WELLSTON, OH 45692-2320
(740) 418-0139
Mailing address
1504 S OHIO AVE, WELLSTON, OH 45692-2320
(740) 418-0139
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
OH
Other
Enumeration date
01/24/2023
Last updated
01/24/2023
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