Individual
FELICIA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1837 CHABLEAU CT SW, WYOMING, MI 49519-4990
(161) 633-4898
Mailing address
1837 CHABLEAU CT SW, WYOMING, MI 49519-4990
(161) 633-4898
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
5303019370
MI
Other
Enumeration date
03/17/2021
Last updated
03/17/2021
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