Individual
BRIANNA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 KIMBARK ST UNIT 103, LONGMONT, CO 80501-2860
(207) 974-8312
Mailing address
1601 KIMBARK ST UNIT 103, LONGMONT, CO 80501-2860
(207) 974-8312
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
111N00000X
CO
Other
Enumeration date
11/11/2024
Last updated
11/11/2024
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