MRS. Sandra Elizabeth Wilson, PA

NPI #1467682435 in Crestview, Florida

Provider Information

NPI Number
1467682435
Entity Type
Individual
Name
MRS. Sandra Elizabeth Wilson, PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
PA
Enumeration Date
Jul 23, 2009
Last Updated
Jul 23, 2009

Practice Location

Address
350 REDSTONE AVE W
State
Florida
ZIP Code
32536-6433
Phone
(850) 689-1740

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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