Janeshia R Wilson

NPI #1669154324 in Clinton, Mississippi

Provider Information

NPI Number: 1669154324
Entity Type: Individual
Name: Janeshia R Wilson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Aug 2, 2023
Last Updated: Aug 2, 2023

Practice Location

Address: 552 SPRINGRIDGE RD APT G3
City: Clinton
State: Mississippi
ZIP Code: 39056-5604
Phone: (601) 446-3044

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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