Individual
ALEXIS WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
11515 W EMERALD OAKS DR, CRYSTAL RIVER, FL 34428-2815
(800) 610-0399
Mailing address
11515 W EMERALD OAKS DR, CRYSTAL RIVER, FL 34428-2815
(800) 610-0399
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
Other
Enumeration date
08/03/2021
Last updated
08/03/2021
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