Individual
META WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3331 LINE JUDGE CT, JACKSONVILLE, FL 32277-0992
(904) 434-5215
Mailing address
3331 LINE JUDGE CT, JACKSONVILLE, FL 32277-0992
(904) 434-5215
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
11/20/2023
Last updated
11/20/2023
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