Individual ProviderChiaki WilsonCommunity Health WorkerOther Service ProvidersPractice Address934 S Main St, Layton, UT 84041-7135(801) 773-7060PECOS EnrollmentBased on the most recent information from CMS, provider Chiaki Wilson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:51 AM.Profile DetailsProvider ID1093491359Provider TypeIndividualFull NameWilson, ChiakiGenderFemaleSole ProprietorNoEnumeration Date6/22/2023Last Updated6/22/2023Contact InformationPractice LocationPractice Address934 S Main St, Layton, UT 84041-7135Phone(801) 773-7060FaxUnlisted FaxMailing LocationMailing Address934 S Main St, Layton, UT 84041-7135Phone(801) 773-7060FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode172V00000XPrimaryDescriptionCommunity Health WorkerOther Service ProvidersLicenseUnlisted Issuer