Individual
CONSTANCE MARIE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
6531 BOEING DR, EL PASO, TX 79925-1008
(915) 887-6703
Mailing address
4429 BUCKINGHAM DR, EL PASO, TX 79902-1349
(915) 533-2590
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
559591
TX
Other
Enumeration date
09/23/2006
Last updated
07/08/2007
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