Individual
JOSLIN TERESA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
353 FAIRMONT BLVD, RAPID CITY, SD 57701-7375
(605) 755-8494
Mailing address
353 FAIRMONT BLVD, RAPID CITY, SD 57701-7375
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
R036079
SD
Other
Enumeration date
02/04/2022
Last updated
02/04/2022
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