Individual
JASMINE PATTERSON WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
114 MORLAKE DR STE 101A, MOORESVILLE, NC 28117-9209
(704) 438-1706
Mailing address
337 GAITHER RD, BELMONT, NC 28012-7600
(704) 438-1706
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
13192
NC
Other
Enumeration date
08/07/2018
Last updated
08/07/2018
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