Individual
MRS. RENEE MARIA WILSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-0607
(757) 953-7478
Mailing address
934 NORCHESTER AVE, NORFOLK, VA 23504-4012
(757) 965-2454
(757) 222-9367
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
0001076673
VA
Other
Enumeration date
02/15/2006
Last updated
07/08/2007
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