Individual
JOAN ALICE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
400 S 6TH AVE, YUMA, AZ 85364-2127
(928) 502-5000
(928) 502-5340
Mailing address
400 S 6TH AVE, YUMA, AZ 85364-2127
(928) 502-5000
(928) 502-5340
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN057670
AZ
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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