Individual provider · Type 1 NPI

Detreece Wilson

Home Health Aide · Florissant, MO

NPI number 1447761762 Active

About NPI 1447761762

Detreece Wilson's National Provider Identifier is 1447761762, issued on Oct 12, 2017. The primary taxonomy on file is Home Health Aide (374U00000X), and the practice location is in Florissant, MO. The record was last updated on Oct 12, 2017.