Traci L Wilson, LAC

NPI #1073841664 in Sheridan, Wyoming

Provider Information

NPI Number: 1073841664
Entity Type: Individual
Name: Traci L Wilson, LAC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Acupuncturist
Credential: LAC
Enumeration Date: Nov 19, 2009
Last Updated: Nov 19, 2009

Practice Location

Address: 45 E LOUCKS ST
Address 2: SUITE 014
City: Sheridan
State: Wyoming
ZIP Code: 82801-6339
Phone: (307) 655-8055

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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