Individual
TRENT WIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9072 RIALTO ST UNIT 6305, NAPLES, FL 34113-3303
(801) 850-2660
Mailing address
9072 RIALTO ST UNIT 6305, NAPLES, FL 34113-3303
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9374795
FL
Other
Enumeration date
04/20/2016
Last updated
04/20/2016
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