Individual
DANYELLE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1217 RIVERHAVEN PL, HOOVER, AL 35244-2557
(205) 538-8463
Mailing address
1217 RIVERHAVEN PL, HOOVER, AL 35244-2557
(205) 538-8463
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-105121
AL
Other
Enumeration date
05/18/2015
Last updated
05/18/2015
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