person
Ms. Stella Elizabeth Wilson, MT
Medical Technologist in Dulce, New Mexico
NPI 1891085262

Stella Elizabeth Wilson is a Medical Technologist based in Dulce, NM and is specialized in Medical Technologist. Stella Elizabeth Wilson practices in Dulce, NM and has the professional credentials of MT. The NPI Number for Stella Elizabeth Wilson is 1891085262 and holds a License No. TN 26432 (New Mexico).

The current practice location address for Stella Elizabeth Wilson is 500 Stone Lake Road, Dulce, NM and can be reached out via phone at 575-759-7309 and via fax at 575-759-7294.

Location: 500 Stone Lake Road, Dulce, NM, 87528
person
Provider Profile Details
NPI Number
1891085262
Provider Name
Stella Elizabeth Wilson
Credential
MT
Provider Entity Type
Individual
Gender
Female
Address
500 Stone Lake Road, Dulce, NM, 87528
Phone Number
575-759-7309
Fax Number
575-759-7294
Provider Enumeration Date
04/19/2011
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
HSZ196 01 NM MEDICARE PART B
K3526 05 NM
institution
Provider Business Practice Location Address Details
Address
500 Stone Lake Road
City
State
Zip
87528
Phone Number
575-759-7309
Fax Number
575-759-7294
person
Provider Business Mailing Address Details
Address
500 Stone Lake Road
City
State
Zip
87528
Phone Number
575-759-7309
Fax Number
575-759-7294
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Specialist/Technologist, Pathology
Speciality
Medical Technologist
Taxonomy
License No.
TN 26432 (Florida)
Definition
Definition to come...
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