Individual
NANCY WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4941 POLLYHILL LN, ROANOKE, VA 24019-2749
(540) 892-7833
Mailing address
4941 POLLYHILL LN, ROANOKE, VA 24019-2749
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
0117005815
VA
Other
Enumeration date
04/06/2018
Last updated
04/06/2018
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