Individual
PEGGY JEAN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
10456 SALTER RD, NORTH ROSE, NY 14516-9708
(315) 587-2900
(315) 587-2432
Mailing address
10456 SALTER RD, NORTH ROSE, NY 14516-9708
(315) 587-2900
(315) 587-2432
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
254109-1
NY
Other
Enumeration date
12/05/2011
Last updated
12/05/2011
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