Individual
REBECCA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
125 CHAFFEE ST, UNIONTOWN, PA 15401-4605
(724) 437-0729
Mailing address
100 NEW SALEM RD STE 116, UNIONTOWN, PA 15401-8936
(724) 437-0729
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN316636
PA
Other
Enumeration date
01/07/2025
Last updated
01/07/2025
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