Krystle Wilson

NPI #1003467564 in Ludlow, Massachusetts

Provider Information

NPI Number: 1003467564
Entity Type: Individual
Name: Krystle Wilson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Sep 26, 2019
Last Updated: Sep 26, 2019

Practice Location

Address: 122 CADY ST
City: Ludlow
State: Massachusetts
ZIP Code: 01056-2252
Phone: (413) 627-4975

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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