Organization
GILDA WILSON CLINICAL LABORATORY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GILDA WILSON MT (MEDICAL TECHNOLOGIST OWNER)
(787) 842-0112
Entity
Organization
Contact information
Practice address
31 MAYOR ST, PONCE, PR 00730-3726
(787) 842-0112
(787) 842-0112
Mailing address
31 MAYOR ST, PONCE, PR 00730-3726
(787) 842-0112
(787) 842-0112
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
0012
PR
Other
Enumeration date
02/09/2007
Last updated
08/06/2007
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