Individual
KRISTINA ANNE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7205 S GEORGE BLVD, SEBRING, FL 33875-5847
(863) 381-6399
Mailing address
207 ST AGNES ST, SEBRING, FL 33870-1829
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
28115312A
IN
163WS0200X
School Registered Nurse
Primary
RN9484761
FL
Other
Enumeration date
10/03/2019
Last updated
10/03/2019
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