Individual
MS. VERNELL W WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 W 9TH ST, CHESTER, PA 19013-2040
(610) 497-7235
(610) 497-7711
Mailing address
2600 W 9TH ST, CHESTER, PA 19013-2040
(610) 497-7235
(610) 497-7711
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
04/09/2012
Last updated
04/09/2012
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