Individual
ALEXIS MICHELLE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16563 COUNTY ROAD 514, MERIDIAN, MS 39301-9496
(601) 604-9084
Mailing address
16563 COUNTY ROAD 514, MERIDIAN, MS 39301-9496
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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