Pamela Marie Wilson

NPI 1073899779 - Rehabilitation Practitioner - 225400000X

NPI Details
NPI 1073899779
Gender Female
Enumeration Date 10/25/2011
Last Updated 10/25/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
4550 W OAKEY BLVD
SUIT 100
LAS VEGAS NV, 89102-1581, US
Phone (702) 726-6122
Fax
Business Location
1325 HEWITT ST
LAS VEGAS NV, 89106-1922, US
Phone (702) 646-3504
Fax
Toxanomy
Taxonomy Code 225400000X
License State
License Number
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According to our database, Ms. Pamela Marie Wilson NPI is 1073899779, taxonomy code is 225400000X Pamela Marie Wilson physically located at 4550 W Oakey Blvd, Las Vegas NV, 89102-1581. NPI Number Pamela Marie Wilson has the Individual type.

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1073899779 NPI number is provided on an as is basis without warranty of any kind. 1073899779 is maintained by the National Plan & Provider Enumeration System. The contents of Pamela Marie Wilson are for informational purposes only.