STEPHEN R WILSON

HONOLULU, HI
NPI1437982824
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: HI  113438)
Additional Taxonomies163W00000X Registered Nurse
(Licence: NC  268575)
163W00000X Registered Nurse
(Licence: IN  28168656A)
Enumeration Date2024-08-22
Last Update Date2024-08-22
Business Address
STEPHEN R WILSON
459 PATTERSON RD
HONOLULU, HI 96819-1522
Phone number: 859-361-1834
Mailing Address
STEPHEN R WILSON
459 PATTERSON RD
HONOLULU, HI 96819-1522
Phone number: 859-361-1834