Individual
MICHELLE ANTOINETTE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CLC
Contact information
Practice address
1521 DUTCHESS AVE, DAYTON, OH 45420-1335
(614) 289-8669
Mailing address
1521 DUTCHESS AVE, DAYTON, OH 45420-1335
(614) 289-8669
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
RN.391106
OH
Other
Enumeration date
06/17/2021
Last updated
12/18/2024
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