Chantall Willson, CFM, CST, CNA

NPI #1467298273 in Wausau, Wisconsin

Provider Information

NPI Number: 1467298273
Entity Type: Individual
Name: Chantall Willson, CFM, CST, CNA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Mastectomy Fitter
Credential: CFM, CST, CNA
Enumeration Date: Jul 2, 2024
Last Updated: Jul 2, 2024

Practice Location

Address: 1607 W WAUSAU AVE
City: Wausau
State: Wisconsin
ZIP Code: 54401-2002
Phone: (715) 486-6343

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist, Other - Surgical Technologist — Surgical Technologist	246ZS0410X
Mastectomy Fitter	224900000X	Primary

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