NPI 1760857866

Bronte Wilson, LMT

Practitioner Contractor Smyrna, DE

Practice location

Address: 311 Arctic Ln, Smyrna, DE 19977-4105
Phone: (302) 559-3019

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence MT-0004097 (DE)

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Registry record

NPI: 1760857866
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Dec 2015
Record last updated: 1 Dec 2015

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.