Individual
DENISE M WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
11 GORDON AVE, LAWRENCEVILLE, NJ 08648-1087
(609) 896-9797
(609) 896-9792
Mailing address
11 GORDON AVE, LAWRENCEVILLE, NJ 08648-1087
(609) 896-9797
(609) 896-9792
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
MC04330
NJ
Other
Enumeration date
06/16/2008
Last updated
06/17/2008
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