Individual
DR. JENNIFER ANNE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
6351 E BROADWAY BLVD STE 115, TUCSON, AZ 85710-3510
(520) 467-4457
(520) 467-4460
Mailing address
955 W SOUTHERN AVE STE 101, MESA, AZ 85210-4903
(480) 961-1865
(480) 893-8172
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2656
OK
152W00000X
Optometrist
Primary
OPT-002406
AZ
Other
Enumeration date
07/18/2005
Last updated
05/15/2024
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