Individual
ROSE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.A.-C.
Contact information
Practice address
110 IRVING ST NW, G2-67, WASHINGTON, DC 20010-3017
(202) 877-7500
Mailing address
20944 GLENBURN TER, ASHBURN, VA 20147-6491
(703) 507-8193
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
AA000036
DC
Other
Enumeration date
06/10/2013
Last updated
06/10/2013
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