Individual
AMY ROSE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
11974 SSG RIVERS CT, EL PASO, TX 79908-3238
(785) 532-8944
Mailing address
11974 SSG RIVERS CT, EL PASO, TX 79908-3238
(785) 532-8944
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
776997
TX
Other
Enumeration date
06/17/2010
Last updated
06/17/2010
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