Individual
MICHELLE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7205 S GEORGE BLVD, SEBRING, FL 33875-5847
(863) 386-6048
(863) 386-6048
Mailing address
7205 S GEORGE BLVD, SEBRING, FL 33875-5847
(863) 386-6048
(863) 386-6048
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5164257
FL
Other
Enumeration date
01/29/2014
Last updated
01/29/2014
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