Individual
MRS. SOPHIA LUCILLE WILMOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
10715 CHARTER DR STE 130, COLUMBIA, MD 21044-2892
(443) 653-1363
Mailing address
9402 PROSPECT HILL PL, FREDERICK, MD 21704-7341
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R225015
MD
Other
Enumeration date
11/18/2015
Last updated
08/03/2021
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