Individual
HOLLY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
6220 CALKINS RD, FLINT, MI 48532-3241
(810) 410-5929
Mailing address
6220 CALKINS RD, FLINT, MI 48532-3241
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703130085
MI
Other
Enumeration date
09/04/2025
Last updated
09/04/2025
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