Mary Wilson

NPI #1336689439 in Waynesville, Missouri

Provider Information

NPI Number
1336689439
Entity Type
Individual
Name
Mary Wilson
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Mar 8, 2017
Last Updated
Mar 8, 2017

Practice Location

Address
704 W HISTORIC RT. 66
ZIP Code
65583
Phone
(573) 774-3121

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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