Ivory Wilson
NPI #1720847130 in Indian Orchard, Massachusetts
Provider Information
- NPI Number
- 1720847130
- Entity Type
- Individual
- Name
- Ivory Wilson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Mar 18, 2024
- Last Updated
- Mar 18, 2024
Practice Location
- Address
- 200 FIBERLOID ST
- City
- Indian Orchard
- State
- Massachusetts
- ZIP Code
- 01151-1006
- Phone
- (413) 381-6644
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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