Individual
JANET WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8136 ARDLEIGH ST, PHILADELPHIA, PA 19118-3412
(267) 670-0989
Mailing address
8136 ARDLEIGH ST, PHILADELPHIA, PA 19118-3412
(267) 670-0989
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AK001068
PA
Other
Enumeration date
12/12/2013
Last updated
12/12/2013
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