DEMETIRUS LEGAIL WILSON

RINGGOLD, GA
NPI1699250225
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy374U00000X Home Health Aide
(Licence: TN  066777)
Enumeration Date2018-09-28
Last Update Date2024-10-01
Business Address
DEMETIRUS LEGAIL WILSON
73 MALLARD HL
RINGGOLD, GA 30736-4964
Phone number: 423-503-4507
Mailing Address
DEMETIRUS LEGAIL WILSON
3584 BENNETT RD
EAST RIDGE, TN 37412-1167
Phone number: 423-635-8738