| Provider / Organization | NPI | Date Certified |
|---|---|---|
| TARASGELA WILSON | 1487386884 | 2022-06-26 |
Tarasgela Wilson is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1487386884. Registration indicates Tarasgela Wilson is a provider of services with a specialization in Nursing Service Related Providers, Adult Companion (Adult Companion, ) (Adult Companion, Nursing Service Related Providers)
| Entity Type | Individual |
| Provider Name | Tarasgela Wilson |
| Practice Office Address | 415 COCONUT CT SOUTH BAY, FL US |
| Practice Office Telephone | 5614934653 |
| Mailing Address | 415 COCONUT CT SOUTH BAY, FL 334932344 US |
| Business Telephone | 5614934653 |
| Code | Practice | License No State |
|---|---|---|
| 372600000X PRIMARY | Nursing Service Related Providers Adult Companion Adult Companion Adult Companion Nursing Service Related Providers | |
| 193400000X MULT | Group Code |