Individual
ALIXANDRIA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
36 MACKENZIE DR, SAINT JOSEPH, MO 64503-3900
(816) 752-0578
Mailing address
36 MACKENZIE DR, SAINT JOSEPH, MO 64503-3900
(816) 752-0578
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
KS
Other
Enumeration date
03/07/2022
Last updated
03/07/2022
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