DIANE ALICE WILSON

STANBERRY, MO
NPI1821295049
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy172M00000X Mechanotherapist
(Licence: MO  MO00988)
Enumeration Date2007-06-29
Last Update Date2007-07-08
Business Address
Mrs. DIANE ALICE WILSON RPT
307 N PINEVIEW ST
STANBERRY, MO 64489-1509
Phone number: 660-783-2118
Mailing Address
Mrs. DIANE ALICE WILSON RPT
307 N PINEVIEW ST
STANBERRY, MO 64489-1509
Phone number: 660-783-2118