Individual
MRS. CONTESSA LAUREN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
3312 LAKE ANN AVE, KILLEEN, TX 76543-3723
(714) 395-7172
Mailing address
3312 LAKE ANN AVE, KILLEEN, TX 76543-3723
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
317387
TX
Other
Enumeration date
05/24/2018
Last updated
05/24/2018
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