Beverley Maria Wilson
NPI #1457673386 in Orange, New Jersey
Provider Information
- NPI Number
- 1457673386
- Entity Type
- Individual
- Name
- Beverley Maria Wilson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Feb 19, 2010
- Last Updated
- Nov 1, 2010
Practice Location
- Address
- 765 VOSE AVE
- Address 2
- UNIT B10
- City
- Orange
- State
- New Jersey
- ZIP Code
- 07050-1060
- Phone
- (973) 677-9711
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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