Adria A Wilson

NPI #1790087526 in Apalachin, New York

Provider Information

NPI Number: 1790087526
Entity Type: Individual
Name: Adria A Wilson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Enumeration Date: Nov 30, 2010
Last Updated: Nov 30, 2010

Practice Location

Address: 5880 STATE ROUTE 434
Address 2: APT. D-6
City: Apalachin
State: New York
ZIP Code: 13732-2467
Phone: (607) 429-9556

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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