Individual
ALLISON WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13501 NE 28TH ST, VANCOUVER, WA 98682-8091
(360) 604-6704
Mailing address
13501 NE 28TH ST, VANCOUVER, WA 98682-8091
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00157471
WA
Other
Enumeration date
03/22/2019
Last updated
03/22/2019
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