Individual
MONIQUE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25 COLLEGE DR, EDISON, NJ 08817-5900
(973) 687-4564
Mailing address
PO BOX 1173, EDISON, NJ 08818-1173
(973) 687-4564
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Enumeration date
10/05/2021
Last updated
10/05/2021
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