Individual
GRISELDA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1000 S COUNTY LINE DR, CHAPARRAL, NM 88081-7869
(575) 824-3156
Mailing address
PO DRAWER 70, ANTHONY, NM 88021
(575) 882-6101
(575) 882-6926
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
906061
TX
Other
Enumeration date
10/25/2016
Last updated
10/25/2016
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