Corriane Wilson

NPI #1184421182 in Omaha, Nebraska

Provider Information

NPI Number: 1184421182
Entity Type: Individual
Name: Corriane Wilson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Feb 26, 2025
Last Updated: Feb 26, 2025

Practice Location

Address: 4715 S 132ND ST
City: Omaha
State: Nebraska
ZIP Code: 68137-1899
Phone: (402) 706-1786

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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