Individual
VERONICA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
113 CAMBRIDGE ST, SPRINGFIELD, MA 01109-3005
(413) 309-6207
(413) 391-7257
Mailing address
113 CAMBRIDGE ST, SPRINGFIELD, MA 01109-3005
(413) 309-6207
(413) 391-7257
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN88423
MA
Other
Enumeration date
10/05/2021
Last updated
10/05/2021
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