Individual
AMY L WILDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HAS, BC-HIS
Contact information
Practice address
10929 S US HIGHWAY 1, PORT SAINT LUCIE, FL 34952-6417
(772) 337-2526
(772) 337-2589
Mailing address
10929 S US HIGHWAY 1, PORT SAINT LUCIE, FL 34952-6417
(772) 337-2526
(772) 337-2589
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
AS5334
FL
Other
Enumeration date
04/04/2019
Last updated
04/04/2019
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