Search › Missouri › 235Z00000X
Amanda Wilson
NPI 1265887608 · on the registry since 2016 · sole proprietor
Practice
- Address
- 4031 San Fernando Ln
Saint Charles, MO 63304 - Phone
- (636) 584-2302
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-03-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri