DOLORES WILSON

TAMPA, FL
NPI1700335403
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
(Licence: FL  MA8404)
Enumeration Date2016-09-23
Last Update Date2016-09-23
Business Address
-- DOLORES WILSON LMT
3418 HANDY RD
TAMPA, FL 33618-4603
Phone number: 813-884-5366
Mailing Address
-- DOLORES WILSON LMT
1613 E SITKA ST
TAMPA, FL 33604-3466
Phone number: 813-884-5366
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