Individual
MRS. BRITTANY MARIE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
305 LANGDON ST, SOMERSET, KY 42503-2750
(606) 679-7441
Mailing address
104A WILDCAT DR, SOMERSET, KY 42501-1914
(606) 875-4989
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
SA349
KY
Other
Enumeration date
07/07/2021
Last updated
07/07/2021
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