Detreece Wilson
NPI #1447761762 in Florissant, Missouri
Provider Information
- NPI Number
- 1447761762
- Entity Type
- Individual
- Name
- Detreece Wilson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Home Health Aide
- Enumeration Date
- Oct 12, 2017
- Last Updated
- Oct 12, 2017
Practice Location
- Address
- 4336 MARGARET RIDGE DR
- City
- Florissant
- State
- Missouri
- ZIP Code
- 63034-3459
- Phone
- (314) 277-0998
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health Aide |
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