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Individual

ANGELIQUE SIMONE WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3000 OCEAN PKWY APT 19U, BROOKLYN, NY 11235-8321
(347) 302-6904
Mailing address
3000 OCEAN PKWY APT 19U, BROOKLYN, NY 11235-8321

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
854194
NY

Other

Enumeration date
06/03/2024
Last updated
06/03/2024
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