WALTER RAY WILSON

FAIRMONT, WV
NPI1952064016
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician Personal Care Attendant
Enumeration Date2021-10-15
Last Update Date2021-10-15
Business Address
WALTER RAY WILSON
352 HAMPTON RD
FAIRMONT, WV 26554-4605
Phone number: 304-657-0310
Mailing Address
WALTER RAY WILSON
352 HAMPTON RD
FAIRMONT, WV 26554-4605
Phone number: 304-657-0310