SearchVirginia106S00000X

Ivan Wilson

NPI 1952809303 · on the registry since 2018 · sole proprietor

Practice

Address
2847 Duke St
Alexandria, VA 22314
Phone
(703) 870-3880
Clinicians at this address
14

Registry record

Primary taxonomy
106S00000X
106S00000X
Sex
Male
Record last updated
2018-01-30

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 Virginia