Individual
SHILETHA JANISE WYLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8428 FOUR SISTERS LN, CHARLOTTE, NC 28215-8904
(704) 724-4667
Mailing address
8428 FOUR SISTERS LN, CHARLOTTE, NC 28215-8904
(704) 724-4667
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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