Individual
MACY MCKIM WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
465 JO ALAN CT, GRAND JUNCTION, CO 81504-3301
(970) 261-4358
Mailing address
465 JO ALAN CT, GRAND JUNCTION, CO 81504-3301
(970) 261-4358
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.1625960
CO
Other
Enumeration date
11/06/2024
Last updated
11/06/2024
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