Individual
ASHLEY C WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
133 MEADOWBROOK LN, FORDLAND, MO 65652-7204
(417) 860-5232
Mailing address
778 STATE HIGHWAY FF, FORDLAND, MO 65652-7410
(417) 988-6442
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
2019037123
MO
Other
Enumeration date
12/02/2024
Last updated
12/31/2024
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