Individual
CHANTRENA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1753 GRANT AVE SW, BIRMINGHAM, AL 35211-4711
(205) 563-8696
Mailing address
1753 GRANT AVE SW, BIRMINGHAM, AL 35211-4711
(205) 563-8696
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
02/19/2025
Last updated
02/19/2025
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