Individual
MRS. ELVIRA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13105 GREENMOUNT AVE, BELTSVILLE, MD 20705-3246
(301) 572-0761
Mailing address
13105 GREENMOUNT AVE, BELTSVILLE, MD 20705-3246
(301) 572-0761
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
09/09/2014
Last updated
09/09/2014
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