Individual
KATHERINE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LIC. AC.
Contact information
Practice address
68 PAUL GORE ST, JAMAICA PLAIN, MA 02130-1835
(617) 549-6476
Mailing address
68 PAUL GORE ST, JAMAICA PLAIN, MA 02130-1835
(617) 549-6476
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
217312
MA
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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