Individual
NANCY LEIGH WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.T.
Contact information
Practice address
117 EDDIE DOWLING HWY, SUITE 1C, NORTH SMITHFIELD, RI 02896-7337
(401) 648-5563
Mailing address
117 EDDIE DOWLING HWY, SUITE 1C, NORTH SMITHFIELD, RI 02896-7337
(401) 648-5563
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MT01480
RI
Other
Enumeration date
09/25/2014
Last updated
09/25/2014
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