Individual
MRS. APRIL TAMIKA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
460 QUINCY AVE, QUINCY, MA 02169-8130
(617) 847-1950
(617) 774-1490
Mailing address
460 QUINCY AVE, QUINCY, MA 02169-8130
(617) 847-1950
(617) 774-1490
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
S10713630
MA
Other
Enumeration date
08/03/2015
Last updated
08/03/2015
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