Individual
JAIMIN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
200 NASHUA ST, BOSTON, MA 02114-1105
(617) 635-1100
Mailing address
22 WATER ST APT 1509, CAMBRIDGE, MA 02141-1399
(401) 864-1689
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/19/2024
Last updated
12/24/2024
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