Individual
MRS. DANA M WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
50 TUCKAHOE ROAD, MARMORA, NJ 08223
(609) 478-3266
Mailing address
50 TUCKAHOE ROAD, MARMORA, NJ 08223
(609) 478-3266
Taxonomy
Speciality
Code
Description
License number
State
224900000X
Mastectomy Fitter
Primary
—
—
Other
Enumeration date
11/02/2022
Last updated
11/02/2022
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