Individual
SAUNDRA ANN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3843 HARDING BLVD, BATON ROUGE, LA 70807-5224
(225) 359-9315
(225) 359-9326
Mailing address
3843 HARDING BLVD, BATON ROUGE, LA 70807-5224
(225) 359-9315
(225) 359-9326
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
240854
LA
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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