Individual
ERRICKA D WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
982 DAFFODIL ST, FOUNTAIN, CO 80817-4148
(719) 407-0681
Mailing address
PO BOX 6, FOUNTAIN, CO 80817-0006
(719) 407-0681
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0025000
CO
Other
Enumeration date
06/27/2022
Last updated
06/27/2022
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