DEMETRIUS WILSON

PHOENIX, AZ
NPI1730896556
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2022-11-01
Last Update Date2022-11-01
Business Address
DEMETRIUS WILSON
5060 N 19TH AVE STE 300-21
PHOENIX, AZ 85015-3210
Phone number: 480-853-5514
Mailing Address
DEMETRIUS WILSON
PO BOX 621
JAMESTOWN, NC 27282-0621
Phone number: 336-884-2162