Individual
DWAN KRISTINE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6405 ERIC ST NW, HUNTSVILLE, AL 35810-1605
(256) 497-5925
Mailing address
800 COLEMAN AVE, ATHENS, AL 35611-3220
(256) 497-5925
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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