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NPI Profile for MELISSA M WILSON in GAMBRILLS, MD.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Lactation Consultant |
163WL0100X |
| NPI # | 1174152912 |
|
| Status | Active | |
| Credentials | RN, IBCLC | |
| Entity | Individual | |
| Enumeration date | 04/03/2020 | |
| Last updated | 04/03/2020 - About 6 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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MELISSA M WILSON
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MELISSA M WILSON, RN, IBCLC