Individual
AMBER N WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
820 S MCCLELLAN ST STE 300, SPOKANE, WA 99204-2450
(509) 838-7100
(509) 227-7070
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(509) 474-3568
(509) 227-7070
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA61035849
WA
Other
Enumeration date
09/13/2012
Last updated
06/05/2021
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