Individual
ELLEN KAY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CST, FA
Contact information
Practice address
185 QUEEN CITY AVE, MANCHESTER, NH 03101-7121
(603) 663-9541
Mailing address
11 COVENTRY CT, MERRIMACK, NH 03054-3445
(603) 231-1756
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
—
—
Other
Enumeration date
10/10/2012
Last updated
10/10/2012
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