Individual
ERIN RALEY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
HWY 491 NORTH, SHIPROCK, NM 87420
(406) 581-0654
Mailing address
769 E 6TH AVE, DURANGO, CO 81301-5508
(406) 581-0654
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2016-0095
NM
Other
Enumeration date
10/31/2016
Last updated
10/31/2016
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