Individual
CHRISTINE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2151 27TH ST APT D2, ASTORIA, NY 11105-3045
(206) 399-1966
Mailing address
2151 27TH ST APT D2, ASTORIA, NY 11105-3045
(206) 399-1966
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
773162
NY
Other
Enumeration date
05/23/2025
Last updated
05/23/2025
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