Individual
MR. JAMES WILLIAM WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
8219 RIVER COUNTRY DR, WEEKI WACHEE, FL 34607-2137
(352) 247-2094
Mailing address
8219 RIVER COUNTRY DR, WEEKI WACHEE, FL 34607-2137
(352) 247-2094
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
27 025797
NY
225700000X
Massage Therapist
Primary
MA93864
FL
Other
Enumeration date
08/02/2013
Last updated
01/27/2020
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