Individual
PATRICIA M WILBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CST
Contact information
Practice address
3930 MEZZANINE DR STE D, LAFAYETTE, IN 47905-8646
(765) 807-2784
(765) 807-2786
Mailing address
PO BOX 4699, LAFAYETTE, IN 47903-4699
(765) 446-5417
(765) 446-5317
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
107477
—
Other
Enumeration date
06/02/2020
Last updated
06/02/2020
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