Keith C Wilson, LSA

NPI #1467604744 in Fresno, Texas

Provider Information

NPI Number
1467604744
Entity Type
Individual
Name
Keith C Wilson, LSA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist, Other - Surgical Assistant
Credential
LSA
Enumeration Date
Oct 16, 2008
Last Updated
Oct 31, 2016

Practice Location

Address
2503 ROBIN KNOLL CT
City
Fresno
State
Texas
ZIP Code
77545-8167
Phone
(281) 509-2017

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist, Other - Surgical AssistantSurgical Assistant

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