Most Relevant Information
Provider Data
| NPI Number: | 1003383928 |
| Provider Name: | CHITRA MAE WILSON |
| Entity Type: | Individual |
| Taxonomy Code: | 343900000X |
| Specialty: | Non-emergency Medical Transport (VAN) |
| License Number: | 1157148 |
Most Important Dates
| Enumeration Date: | 10/29/2018 |
| Last Updated: | 10/29/2018 |
Provider Practice Location
3713 JUNIPER ST
MOSS POINT
MS
395636029
Practice Location Phone/Fax
| Phone: | 2282976488 |
| Fax: |
Provider Mailing Location
3537 DENNY AVE # 347
PASCAGOULA
MS
395815416
Provider Mailing Phone/Fax
| Phone: | 2282976488 |
| Fax: |