Individual
CELESTE WILCOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4815 BAUTISTA DR, MC FARLAND, WI 53558-8737
(608) 921-5180
Mailing address
1400 POST RD APT 217, FITCHBURG, WI 53713-4244
(608) 921-5180
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
223646
WI
Other
Enumeration date
08/02/2016
Last updated
08/02/2016
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