Individual
RACHEL ANN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
300 W COUNTRY CLUB RD STE 210, ROSWELL, NM 88201-5240
(575) 622-2911
Mailing address
300 W COUNTRY CLUB RD STE 210, ROSWELL, NM 88201-5240
(575) 622-2911
(575) 622-2598
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2022-0025
NM
Other
Enumeration date
12/08/2011
Last updated
05/16/2024
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