Individual
MELISSA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
SPALDING UNIVERSITY, 901 SOUTH 4THSTREET, LOUISVILLE, KY 40203
(502) 585-9911
Mailing address
5402 RED LEAF RD, LOUISVILLE, KY 40218-4256
(502) 716-0849
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/01/2021
Last updated
06/01/2021
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