Individual
DR. ADRIENNE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NMD
Contact information
Practice address
950 N ARIZOLA RD, CASA GRANDE, AZ 85122-6196
(520) 381-2531
Mailing address
890 E INDIAN WELLS PL, CHANDLER, AZ 85249-6957
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
10-1193
AZ
Other
Enumeration date
10/13/2010
Last updated
10/13/2010
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