NPI 1891085262

Stella Elizabeth Wilson, MT

Practitioner Medical Technologist Dulce, NM

Practice location

Address: 500 Stone Lake Road, Dulce, NM 87528
Phone: (575) 759-7309
Fax: (575) 759-7294

Registered specialties

Medical Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246QM0706X Licence TN 26432 (FL)

Other Specialist/Technologist, Pathology providers in New Mexico →

Registry record

NPI: 1891085262
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Apr 2011
Record last updated: 13 Jun 2012

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.