IVORY WILSON

Licensed Practical Nurse

Active Individual
NPI: 1720847130

Practice Address

200 FIBERLOID ST
Indian Orchard, MA 01151

Phone: (413) 381-6644

Specialties

Specialty Code Primary License
Licensed Practical Nurse 164W00000X Yes LN96517 (MA)

Frequently Asked Questions

NPI 1720847130 is the National Provider Identifier for IVORY WILSON, a Licensed Practical Nurse provider located in Indian Orchard, MA. This NPI was enumerated on March 18, 2024.
IVORY WILSON practices at 200 FIBERLOID ST, Indian Orchard, MA 01151.

Quick Facts

NPI
1720847130
Type
Individual
Enumerated
Mar 18, 2024
Last Updated
Mar 18, 2024

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