Individual
MS. PAMELA MARIE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4550 W OAKEY BLVD, SUIT 100, LAS VEGAS, NV 89102-1581
(702) 726-6122
Mailing address
1325 HEWITT ST, LAS VEGAS, NV 89106-1922
(702) 646-3504
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
10/25/2011
Last updated
10/25/2011
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