Tarasgela Wilson

NPI Registration Record

Provider / OrganizationNPIDate Certified
TARASGELA WILSON14873868842022-06-26

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 TypeIndividual
Provider Name Tarasgela Wilson
Practice Office Address415 COCONUT CT
Practice Office Telephone5614934653
Mailing Address415 COCONUT CT
SOUTH BAY, FL 334932344 US
Business Telephone5614934653
HPT Codes
License No
372600000X PRIMARY
Nursing Service Related Providers
Adult Companion
Adult Companion

Adult Companion
Nursing Service Related Providers
193400000X MULTGroup Code
OPI Codes
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