Kavon Wilson
Kavon Wilson is a Home Health Agency in Suitland, Maryland. Practices as a sole proprietor. Licensed in District of Columbia.
- Licensed in
- DC
- In the registry since
- 2022
Practice location Address checks out
3807 St Barnabas Rd #104Suitland, MD 20746
Phone: (202) 394-4579
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Specialties & licences
| Home Health Agency (primary) | Taxonomy 251E00000X (DC) |
|---|
Record details
| NPI number | 1992434245 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 9, 2022 |
| Last updated in NPPES | June 9, 2022 |
| Certification date | June 9, 2022 |
| Mailing address | 3807 St. Barnabas Rd. #104, Suitland, MD 20746 |
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