Individual
MARINA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C., M.S.F.N.
Contact information
Practice address
2912 N MACARTHUR BLVD, IRVING, TX 75062-4995
(469) 565-2221
Mailing address
2912 N MACARTHUR BLVD, IRVING, TX 75062-4995
(469) 565-2221
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
16343
TX
Other
Enumeration date
05/13/2025
Last updated
06/02/2025
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