Octavia Wilson
NPI #1861023681 in Elizabeth, New Jersey
Provider Information
- NPI Number
- 1861023681
- Entity Type
- Individual
- Name
- Octavia Wilson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Jan 30, 2020
- Last Updated
- Jan 30, 2020
Practice Location
- Address
- 181 STILES ST APT A17
- City
- Elizabeth
- State
- New Jersey
- ZIP Code
- 07208-1835
- Phone
- (202) 321-9860
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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