Individual
KIMBERLY GRACE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSTFA
Contact information
Practice address
1155 MILL ST, RENO, NV 89502-1576
(775) 982-4280
Mailing address
1950 CARLIN ST, RENO, NV 89503-4023
(830) 313-4403
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
05/11/2015
Last updated
05/11/2015
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