Individual
ANGELIA ELIZABETH WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2401 S L ST, RICHMOND, IN 47374-7439
(765) 966-5705
Mailing address
2401 S L ST, RICHMOND, IN 47374-7439
(765) 966-5707
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28216530A
IN
Other
Enumeration date
06/24/2022
Last updated
06/24/2022
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