Individual
DR. PAMELA EILEEN WILSON
Active
Individual
DR. PAMELA EILEEN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
011256
NY
111NR0400X
Rehabilitation Chiropractor
Primary
3851
NJ
133V00000X
Registered Dietitian
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P413708
OXFORD INS ID#
NJ
Enumeration date
04/08/2007
Last updated
09/16/2013
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