Tarasgela Wilson

NPI #1487386884 in South Bay, Florida

Provider Information

NPI Number: 1487386884
Entity Type: Individual
Name: Tarasgela Wilson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Adult Companion
Enumeration Date: Jun 26, 2022
Last Updated: Jun 26, 2022

Practice Location

Address: 415 COCONUT CT
City: South Bay
State: Florida
ZIP Code: 33493-2344
Phone: (561) 493-4653

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Adult Companion	372600000X	Primary

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