Organization
SAVANNA V WILSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAVANNA V WILSON (LPN)
(845) 536-1914
Entity
Organization
Contact information
Practice address
707 E 242ND ST, 6J, BRONX, NY 10470-1253
(845) 536-1914
Mailing address
707 E 242 STREET, 6J, BRONX, NY 10470
(845) 536-1914
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
292513
NY
Other
Enumeration date
03/01/2013
Last updated
03/01/2013
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