Individual
BRITTANY E WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
638 LISBON AVE UPPR, BUFFALO, NY 14215-1214
(716) 400-3344
Mailing address
638 LISBON AVE UPPR, BUFFALO, NY 14215-1214
(716) 400-3344
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
338376
NY
Other
Enumeration date
04/05/2023
Last updated
04/05/2023
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