Seymoura Raychanel Wilson, CRTHAIRLOSSSPT
Seymoura Raychanel Wilson, CRTHAIRLOSSSPT is a Prosthetics Case Management in Los Angeles, California. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
- Specialties on file
- 3
Practice location Address checks out
3411 Crenshaw Blvd Apt 511Los Angeles, CA 90016-4879
Phone: (323) 614-1465
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Specialties & licences
| Prosthetics Case Management (primary) | Taxonomy 1744P3200X |
|---|---|
| Customized Equipment (DME) | Taxonomy 332BC3200X |
| Prosthetic/Orthotic Supplier | Taxonomy 335E00000X |
Record details
| NPI number | 1134719800 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | CRTHAIRLOSSSPT |
| Sole proprietor | Yes |
| NPI enumerated | January 26, 2021 |
| Last updated in NPPES | January 26, 2021 |
| Certification date | January 26, 2021 |
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