Individual
MARYANN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2831 SAINT ROSE PKWY STE 200, HENDERSON, NV 89052-4841
(801) 717-8487
Mailing address
2831 SAINT ROSE PKWY STE 200, HENDERSON, NV 89052-4841
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
NV20161698807
NV
Other
Enumeration date
11/07/2023
Last updated
01/31/2024
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