JOHANNA MARCELA WILSON

PORTLAND, OR
NPI1437876281
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-10-24
Last Update Date2022-10-24
Business Address
JOHANNA MARCELA WILSON
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-258-7074
Mailing Address
JOHANNA MARCELA WILSON
19195 SW TEDDI ROSE CT
BEAVERTON, OR 97003-2775
Phone number: 503-258-7074
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