Individual
MISS ANGELICA WALTON WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1367 WILLOW ST APT 533, MINNEAPOLIS, MN 55403-2598
(504) 400-2914
Mailing address
1367 WILLOW ST APT 533, MINNEAPOLIS, MN 55403-2598
(504) 400-2914
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2472545
MN
Other
Enumeration date
05/24/2020
Last updated
05/24/2020
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