| NPI | 1851285654 |
|---|---|
| Professional Name | EBONY LOGAN WILSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy (Licence: GA NAPTP5057396062) |
| Enumeration Date | 2025-06-05 |
| Last Update Date | 2025-06-05 |