Individual
MYLA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2065 WALTON RD STE 109, OVERLAND, MO 63114-5805
(314) 374-8866
Mailing address
2065 WALTON RD STE 109, OVERLAND, MO 63114-5805
(314) 374-8866
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/08/2021
Last updated
04/08/2021
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