Individual
ASHLEY K WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1505 W MASTER ST FL 2, PHILADELPHIA, PA 19121-4892
(617) 893-2749
Mailing address
1505 W MASTER ST FL 2, PHILADELPHIA, PA 19121-4892
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/08/2021
Last updated
11/08/2021
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