Venessa Nacole Wilson
NPI #1053027482 in Baton Rouge, Louisiana
Provider Information
- NPI Number
- 1053027482
- Entity Type
- Individual
- Name
- Venessa Nacole Wilson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Jan 30, 2023
- Last Updated
- Jan 30, 2023
Practice Location
- Address
- 7819 BLUEBONNET BLVD STE C
- City
- Baton Rouge
- State
- Louisiana
- ZIP Code
- 70810-2836
- Phone
- (225) 335-8652
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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