Individual
CORTNEY SERENE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SA-C
Contact information
Practice address
417 S EAST ST, CORYDON, IA 50060-1860
(641) 872-2260
Mailing address
1405 W SOUTH ST, MOUNT AYR, IA 50854-1267
(641) 234-0657
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
18-332
IA
Other
Enumeration date
09/17/2018
Last updated
09/17/2018
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