Individual
MAJA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
1021 BANDANA BLVD E, SAINT PAUL, MN 55108-5113
(651) 241-9700
Mailing address
1160 CUSHING CIR APT 226, SAINT PAUL, MN 55108-5011
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
3714
MN
Other
Enumeration date
04/18/2022
Last updated
10/02/2024
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