Individual
KHRISTINE RENEE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1375 E 20TH AVE, DENVER, CO 80205-5422
(303) 338-4545
Mailing address
11175 E ALAMEDA AVE, APT. 101, AURORA, CO 80012-6478
(720) 883-5949
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
47408
CO
Other
Enumeration date
11/08/2010
Last updated
11/08/2010
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