Individual
MR. WILKELLY LEGROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT, MA
Contact information
Practice address
179 VINEYARD LN, FELTON, DE 19943-5579
(302) 505-6781
Mailing address
179 VINEYARD LN, FELTON, DE 19943-5579
(302) 505-6781
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-0015096
DE
Other
Enumeration date
12/18/2020
Last updated
12/18/2020
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