Individual
MS. CHRISTINE JOY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
4100 W KENNEDY BLVD, SUITE114, TAMPA, FL 33609-2288
(813) 639-1915
(813) 514-4715
Mailing address
4928 5TH AVE N, ST PETERSBURG, FL 33710-7302
(727) 323-9872
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
811182
FL
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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