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Individual

BIANCA ARDENIA WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CD(DONA)

Contact information

Practice address
1201 S MAIN ST, FRANCISCAN CROWN POINT HOSPITAL, CROWN POINT, IN 46307-4630
(219) 757-6330
Mailing address
7922 BRACKEN PKWY, HOBART, IN 46342-6852
(219) 334-9075

Taxonomy

Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
13684
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2
IN
Enumeration date
03/07/2023
Last updated
03/07/2023
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