Individual
MARION WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 14TH ST SW, LARGO, FL 33770-3133
(727) 588-5200
Mailing address
317 176TH AVENUE CIR, REDINGTON SHORES, FL 33708-1224
(609) 846-5520
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN 9347196
FL
Other
Enumeration date
10/15/2013
Last updated
10/15/2013
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