Individual
SHONDA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4517 SCARLET LEAF CV, MEMPHIS, TN 38141-7721
(901) 325-3196
Mailing address
4517 SCARLET LEAF CV, MEMPHIS, TN 38141-7721
(901) 208-4037
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
250003295
TN
Other
Enumeration date
07/11/2025
Last updated
07/11/2025
About Stedi
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