Individual
PENNY WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2934 PIEDMONT RD, HUNTINGTON, WV 25704-2731
(681) 279-1086
Mailing address
2934 PIEDMONT RD, HUNTINGTON, WV 25704-2731
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/06/2025
Last updated
06/06/2025
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