Individual
TENELLE LYNN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AP DOM
Contact information
Practice address
621 CAPE CORAL PKWY E STE 10, CAPE CORAL, FL 33904-8590
(239) 201-7907
Mailing address
621 CAPE CORAL PKWY E STE 10, CAPE CORAL, FL 33904-8590
(239) 201-7907
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP4141
FL
Other
Enumeration date
08/22/2021
Last updated
08/22/2021
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