Individual
STEPHANIE CHRISTINA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
400 HOWARD AVE APT C, LAKELAND, FL 33815-3439
(407) 864-6009
Mailing address
400 HOWARD AVE APT C, LAKELAND, FL 33815-3439
(407) 864-6009
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9335136
FL
Other
Enumeration date
05/20/2013
Last updated
05/20/2013
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