Individual
WILMA BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
150 DEN-MAC DR, BOONE, NC 28607-6543
(828) 263-8171
(828) 263-0995
Mailing address
515 CLANTON RD, CHARLOTTE, NC 28217-1309
(704) 332-9001
(704) 714-1182
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
64596
TN
Other
Enumeration date
02/14/2013
Last updated
02/14/2013
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