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STELLA E WILSON, M.T. – NPI #1891085262
Medical Technologist

NPI Profile for STELLA E WILSON in DULCE, NM.

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Contact Information

STELLA E WILSON, M.T.
500 STONE LAKE ROAD
DULCE, NM  87528
 Phone: 575-759-7309
 Fax: 575-759-7294
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Medical Technologist

 246QM0706X
Indicates primary specialty

NPI Profile & details for STELLA E WILSON · (Female)

NPI # 1891085262
Status Active
Credentials M.T.
Entity Individual
Enumeration date 04/19/2011
Last updated 06/13/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • FL License # TN 26432
  • NM Medicaid K3526
  • NM Other HSZ196 MEDICARE PART B
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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