MRS. Twila Wilson

NPI #1710403720 in Columbia, South Carolina

Provider Information

NPI Number: 1710403720
Entity Type: Individual
Name: MRS. Twila Wilson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Homemaker
Enumeration Date: Aug 21, 2017
Last Updated: Aug 21, 2017

Practice Location

Address: 5741 D IMBODEN STREET
City: Columbia
State: South Carolina
ZIP Code: 29206
Phone: (734) 288-6644

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Adult Companion	372600000X
Homemaker	376J00000X	Primary

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