Stacy Wilson

NPI #1174898365 in Fallon, Nevada

Provider Information

NPI Number
1174898365
Entity Type
Individual
Name
Stacy Wilson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Rehabilitation Practitioner
Enumeration Date
Mar 20, 2012
Last Updated
Mar 20, 2012

Practice Location

Address
4233 PELICAN DR
City
Fallon
State
Nevada
ZIP Code
89406-2445
Phone
(775) 291-8406

Specialties & Taxonomy Codes

Specialty
Rehabilitation Practitioner

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