SearchAlabama390200000X

Olivia Wilson

NPI 1780082354 · on the registry since 2014 · sole proprietor

Practice

Address
3821 County Highway 89
Vina, AL 35593
Phone
(256) 356-2570

Registry record

Primary taxonomy
390200000X
390200000X
Licence states on file
AL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-12-15

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 Alabama