Tracy A Wilson, LPN
NPI #1245644186 in Pearl Harbor, Hawaii
Provider Information
- NPI Number
- 1245644186
- Entity Type
- Individual
- Name
- Tracy A Wilson, LPN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Jun 18, 2014
- Last Updated
- Jun 18, 2014
Practice Location
- Address
- 480 CENTRAL AVE
- City
- Pearl Harbor
- State
- Hawaii
- ZIP Code
- 96860-4908
- Phone
- (808) 471-1866
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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