Individual
JAHILIA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
565 MEMORIAL CIR, ORMOND BEACH, FL 32174-5001
(386) 310-8766
Mailing address
73 LEVEE LN, ORMOND BEACH, FL 32174-1054
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/01/2019
Last updated
01/01/2019
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