Individual
JACQUELYN L WILSON
Active
Individual
JACQUELYN L WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R, MR
Taxonomy
Speciality
Code
Description
License number
State
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
380089
AR
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
Primary
RTL6252
AR
Other
Enumeration date
05/10/2011
Last updated
05/10/2011
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