Individual
ARIANA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1125 ELM ST, ABILENE, TX 79602-3718
(325) 829-4390
Mailing address
1125 ELM ST, ABILENE, TX 79602-3718
(325) 829-4390
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
1002380
TX
Other
Enumeration date
10/12/2020
Last updated
10/12/2020
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