Individual
STEPHANIE RENEE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
43949 HWY 105, HULLL, TX 77564
(936) 253-9201
Mailing address
PO BOX 104, BATSON, TX 77519-0104
(936) 253-9201
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
02/27/2025
Last updated
03/04/2025
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