DELANIA TYEVETTE WILSON

MOUNT DORA, FL
NPI1356096770
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy261QD1600X Clinic/Center, Developmental Disabilities
Enumeration Date2022-02-14
Last Update Date2022-02-14
Business Address
DELANIA TYEVETTE WILSON
2270 PINE AVE
MOUNT DORA, FL 32757-6407
Phone number: 352-396-7727
Mailing Address
DELANIA TYEVETTE WILSON
2270 PINE AVE
MOUNT DORA, FL 32757-6407
Phone number: 352-396-7727