Individual
MS. ALICE M WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNFA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN3391562
FL
163WR0006X
Registered Nurse First Assistant
Primary
RN3391562
FL
Other
Enumeration date
05/18/2009
Last updated
05/12/2014
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