Wilson-Johnson, Devolia

Wilson-Johnson, Devolia is an individual health care provider with primary practice located at 525 Sherburne Ave , Saint Paul MN 55103-1946. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Wilson-Johnson, Devolia can be contacted via phone (702) 277-9361.

Contact Information

Primary practice address
525 Sherburne Ave Saint Paul MN 55103-1946
Phone: (702) 277-9361
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X

Profile Details

NPI number 1730579004
LBN Legal business name Wilson-Johnson, Devolia
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2015
Last updated Aug 19th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730579004 NPPES
Nevada MEDICAID 1405013329

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