VITA J WILSON

BILOXI, MS
NPI1912087669
Professional NameVITA J WILSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MS  r671908)
Enumeration Date2006-10-17
Last Update Date2007-07-08
Business Address
-- VITA J WILSON cfnp
250 BEAUVOIR RD STE 5
BILOXI, MS 39531-4026
Phone number: 228-388-2599
Mailing Address
-- VITA J WILSON cfnp
1452 TALLY HO CIR
GULFPORT, MS 39507-4229
Phone number: 228-896-7568
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