Individual
ALEXANDRA HOLLINGSHEAD WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
901 12TH AVE S, NAMPA, ID 83651-4658
(208) 466-9251
Mailing address
901 12TH AVE S, NAMPA, ID 83651-4658
(208) 466-9251
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODP-100524
ID
Other
Enumeration date
02/09/2021
Last updated
11/08/2022
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