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Destiney Wilson
Student in an Organized Health Care Education/Training Program in Edwardsville, Illinois
NPI 1609628932

Destiney Wilson is a Student in an Organized Health Care Education/Training Program based in Edwardsville, IL. Destiney Wilson practices in Edwardsville, IL. The NPI Number for Destiney Wilson is 1609628932 and holds a License No. (Illinois).

The current practice location address for Destiney Wilson is 1 Hairpin Dr, Edwardsville, IL and can be reached out via phone at 618-650-3956.

Location: 1 Hairpin Dr, Edwardsville, IL, 62026-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609628932
Provider Name
Destiney Wilson
Credential
Provider Entity Type
Individual
Gender
Female
Address
1 Hairpin Dr, Edwardsville, IL, 62026-0001
Phone Number
618-650-3956
Fax Number
Provider Enumeration Date
04/02/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
1 Hairpin Dr
City
Edwardsville
State
Illinois
Zip
62026-0001
Phone Number
618-650-3956
Fax Number
person
Provider Business Mailing Address Details
Address
1 Hairpin Dr
City
Edwardsville
State
Illinois
Zip
62026-0001
Phone Number
618-650-3956
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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