Individual
HAILEY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1004 E 17TH ST APT 113, SOUTH SIOUX CITY, NE 68776-2584
(402) 404-0681
Mailing address
1004 E 17TH ST APT 113, SOUTH SIOUX CITY, NE 68776-2584
(402) 404-0681
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
05/22/2025
Last updated
05/22/2025
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