Individual
AMBER WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 DENNIS FLAT ROAD, DEETH, NV 89823
(775) 340-5943
Mailing address
10445 SPUR ST, WINNEMUCCA, NV 89445-8795
(775) 403-0109
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/06/2019
Last updated
11/06/2019
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