Individual
MS. CHERI MARIE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2795 ELIZABETH AVE, #41, CANON CITY, CO 81212-8764
(719) 221-8963
Mailing address
2795 ELIZABETH AVE, #41, CANON CITY, CO 81212-8764
(719) 221-8963
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN0048408
CO
Other
Enumeration date
08/09/2013
Last updated
08/09/2013
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