Individual
MRS. MARIANNE T. WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1827 MANLEY ROAD, ADDISON, NY 14801
(607) 359-2117
Mailing address
1827 MANLEY RD, ADDISON, NY 14801-9781
(607) 359-2117
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
322367
NY
Other
Enumeration date
02/05/2010
Last updated
02/05/2010
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