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Individual

NETRENA WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1293 S MCADOO AVE, BARTOW, FL 33830-6847
(863) 617-9355
(877) 797-7978
Mailing address
PO BOX 705, CLARCONA, FL 32710-0705
(863) 617-9355
(877) 797-7978

Taxonomy

Speciality
Code
Description
License number
State
372600000X
Adult Companion
374U00000X
Home Health Aide
Primary
376J00000X
Homemaker

Other

Enumeration date
01/30/2015
Last updated
04/07/2015
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