Individual
SHONDA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
344 ERON WAY, WINTER GARDEN, FL 34787-5802
(689) 777-1810
(321) 218-5861
Mailing address
PO BOX 4507, ORLANDO, FL 32802-4507
(689) 777-1810
(321) 218-5861
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
11/24/2020
Last updated
11/24/2020
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