Individual
MS. BRIDGETT NICOLE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2300 LINCOLN RD APT 9, HATTIESBURG, MS 39402-3136
(601) 287-2100
Mailing address
2300 LINCOLN RD APT 9, HATTIESBURG, MS 39402-3136
(601) 287-2100
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
05/14/2013
Last updated
05/14/2013
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