NPI 1013408111

Katrina Wilson

Practitioner Respite Care Leesburg, FL

Practice location

Address: 1416 Griffin Rd APT 57, Leesburg, FL 34748-3439
Phone: (352) 396-5254
Mailing address: PO Box 490623, Leesburg, FL 34749-0623

Registered specialties

Respite Care Primary

Respite Care Facility Taxonomy 385H00000X

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Registry record

NPI: 1013408111
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 May 2018
Record last updated: 23 May 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.