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Ira Wilson

NPI 1295274090 · on the registry since 2017 · sole proprietor

Practice

Address
1799 Stumpf Blvd Bldg 3
Terrytown, LA 70056
Phone
(504) 339-5064
Organisation at this address
Ameritest
Ameritest
Anioma Living
Maison Vie, Llc
Big Easy Therapy
Inferred from a shared address, not stated in the registry.
Clinicians at this address
81

Registry record

Primary taxonomy
251S00000X
251S00000X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-02-14

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 Louisiana