Individual
MS. KIMBERLIE ANNE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
TRS, INC., 44 EAST 32ND ST. 11TH FL., NEW YORK, NY 10463
(718) 902-6715
Mailing address
3850 SEDGWICK AVE APT 3A, BRONX, NY 10463-4468
(718) 902-6715
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1210
NY
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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