Individual
ROXANE RAE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
406 3RD ST, WATERBURY, NE 68785-2630
(712) 212-4140
Mailing address
406 3RD ST, WATERBURY, NE 68785-2630
(712) 212-4140
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
06/30/2025
Last updated
06/30/2025
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