Jon Randolph Wilson, LAC
NPI #1750936282 in Peterborough, New Hampshire
Provider Information
- NPI Number
- 1750936282
- Entity Type
- Individual
- Name
- Jon Randolph Wilson, LAC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Acupuncturist
- Credential
- LAC
- Enumeration Date
- Aug 1, 2019
- Last Updated
- Jan 3, 2022
Practice Location
- Address
- 225 CONCORD ST
- City
- Peterborough
- State
- New Hampshire
- ZIP Code
- 03458-1207
- Phone
- (603) 933-1577
Specialties & Taxonomy Codes
| Specialty |
|---|
| Acupuncturist |
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