Individual
MRS. LINDA A WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MT., MMP
Contact information
Practice address
12580 SAINT JAMES RD, VERNON, TX 76384-5726
(940) 357-0217
Mailing address
12580 SAINT JAMES RD, VERNON, TX 76384-5726
(940) 357-0217
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
025215
TX
Other
Enumeration date
08/27/2008
Last updated
08/27/2008
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