Individual
KRISTINA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
72 FLINT ST APT 2207, SALEM, MA 01970-2474
(615) 926-5931
Mailing address
72 FLINT ST APT 2207, SALEM, MA 01970-2474
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2349453
MA
Other
Enumeration date
10/06/2021
Last updated
10/06/2021
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