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Lisa Wilson

Technician, Personal Care Attendant in Beckley, WV. Individual provider (NPI-1).

NPI number1558087015
StatusActive
Last updated in NPPESOct 17, 2022

Details

NPI
1558087015
Entity type
Individual (NPI-1)
Name
Lisa Wilson
Sex
Female
Sole proprietor
No
Enumeration date
Oct 17, 2022
Certification date
Oct 17, 2022
Last updated
Oct 17, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3747P1801X Technician, Personal Care Attendant––Yes

Practice location

254 George St
Beckley, WV 25801-2641

Phone 304-255-0620

Mailing address

510 Edwards Ln
Beaver, WV 25813-8882

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