NPI 1053027482

Venessa Nacole Wilson

Practitioner Prosthetic/Orthotic Supplier Baton Rouge, LA

Practice location

Address: 7819 Bluebonnet Blvd STE C, Baton Rouge, LA 70810-2836
Phone: (225) 335-8652

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X Licence 419152 (LA)

Other Prosthetic/Orthotic Supplier providers in Louisiana →

Registry record

NPI: 1053027482
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Jan 2023
Record last updated: 30 Jan 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.