Female

Ms. Marcella C. Wilson D.O.M., A.P.

Acupuncturist in Gainesville, FL(View on Map)

Full Name

Ms. Marcella Christine Wilson D.O.M., A.P.

NPI Number

1104883156

NPI Type

Individual Provider

Gender

Female

Enumeration Date

04/26/2006

Specialties

(Taxonomies)

Code

171100000X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

AP 2178

Contact
Information

Purpose

Mailing
Location

Address

3220 NW 14TH ST
901 NW 8TH AVE

City

Gainesville
Gainesville

State

FL
FL

Postal Code

32605-2506
32601-5000

Country

US
US

Telephone Number

(352) 284-5937
(352) 284-5937

Identifiers

Identifier

C002F

Identifier State

FL

Identifier Issuer

BLUE CROSS/BLUE SHIELD

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address

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