Individual
MS. MIRIAM J WILBON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3330 MASONIC DR, ALEXANDRIA, LA 71301-3841
(318) 487-1122
Mailing address
PO BOX 1502, LA PLACE, LA 70069-1502
(985) 651-8923
Taxonomy
Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
G02542
LA
363A00000X
Physician Assistant
A10315
LA
363AM0700X
Medical Physician Assistant
Primary
A10315
LA
363AS0400X
Surgical Physician Assistant
A10315
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1886203
—
LA
Enumeration date
03/20/2008
Last updated
02/22/2017
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