Individual
ARIEL SHANTRICE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
143 HICKORY GROVE DR, BIRMINGHAM, AL 35217-1349
(205) 451-3665
Mailing address
143 HICKORY GROVE DR, BIRMINGHAM, AL 35217-1349
(205) 451-3665
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
374U00000X
Home Health Aide
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
05/13/2019
Last updated
05/14/2019
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