Individual
ABIGAIL WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
90 BEAVER DR STE 122D, DU BOIS, PA 15801-2441
(814) 375-2037
Mailing address
1091 DEER LN, BROOKVILLE, PA 15825-4715
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA064592
PA
Other
Enumeration date
05/19/2023
Last updated
10/04/2023
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