Individual
SHARON ROSE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10225 TRIPP RD, PITTSFORD, MI 49271-9795
(517) 425-7661
Mailing address
902 E BUTLER ST, ADRIAN, MI 49221-2418
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703088660
MI
Other
Enumeration date
03/26/2018
Last updated
03/26/2018
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