Earnest Wilson

NPI #1942639620 in Slc, Utah

Provider Information

NPI Number: 1942639620
Entity Type: Individual
Name: Earnest Wilson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Community Health Worker
Enumeration Date: Nov 4, 2013
Last Updated: Nov 4, 2013

Practice Location

Address: 344 E 100 S
Address 2: STE 301
City: Slc
State: Utah
ZIP Code: 84111-1700
Phone: (801) 322-4257

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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