Individual
ALEXIS D WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1610 MAPLE AVE, MIDLAND, TX 79705-6910
(432) 967-9465
Mailing address
1610 MAPLE AVE, MIDLAND, TX 79705-6910
(432) 967-9465
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
1013472
TX
Other
Enumeration date
11/06/2020
Last updated
11/06/2020
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