Individual
KIMBERLY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12 WATER ST STE 401, WHITE PLAINS, NY 10601-1401
(888) 722-2072
Mailing address
3506 FARRAGUT RD APT 4B, BROOKLYN, NY 11210-2797
Taxonomy
Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
Primary
728175
NY
Other
Enumeration date
08/16/2024
Last updated
08/16/2024
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