Individual
PATRICIA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
22980 LYNX CT, SORRENTO, FL 32776-9330
(407) 760-6990
Mailing address
22980 LYNX CT, SORRENTO, FL 32776-9330
(407) 760-6990
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/17/2015
Last updated
10/17/2015
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