Pamela Wilson
Pamela Wilson is an Optician in LA Grange, Kentucky. Practices as a sole proprietor. Licensed in Kentucky.
- Licensed in
- KY
- In the registry since
- 2022
Practice location Address checks out
1015 New Moody LnLA Grange, KY 40031-9142
Phone: (502) 222-5292
Fax: (502) 222-5274
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Specialties & licences
| Optician (primary) | Taxonomy 156FX1800X · Licence 110174Q (KY) |
|---|
Record details
| NPI number | 1194450122 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | July 22, 2022 |
| Last updated in NPPES | July 22, 2022 |
| Certification date | July 22, 2022 |
| Mailing address | 1015 New Moody Ln, La Grange, KY 40031-9142 |
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