Individual
ALYSHA V WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
31 W HOWARD AVE, DUNKIRK, NY 14048-3342
(716) 410-3213
Mailing address
31 W HOWARD AVE, DUNKIRK, NY 14048-3342
(716) 410-3213
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
349513
NY
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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