Individual
MARIA MAGDALENA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
313 WASHINGTON ST STE 402, NEWTON, MA 02458-1626
(855) 860-6841
Mailing address
313 WASHINGTON ST, NEWTON, MA 02458-1626
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/01/2019
Last updated
03/06/2025
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