Individual
MS. WENDY LEANN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3204 E MOORE AVE, SEARCY, AR 72143-4826
(501) 268-7777
(501) 305-5009
Mailing address
3204 EAST MOORE AVENUE, SEARCY, AR 72143
(501) 268-7777
(501) 305-5009
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L31015
AR
Other
Enumeration date
06/06/2008
Last updated
06/06/2008
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