Jon Randolph Wilson, LAc
Acupuncturist in Peterborough, NH. Individual provider (NPI-1).
NPI number1750936282
StatusActive
Last updated in NPPESJan 3, 2022
Details
- NPI
- 1750936282
- Entity type
- Individual (NPI-1)
- Name
- Jon Randolph Wilson
- Credential
- LAc
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 1, 2019
- Certification date
- Dec 27, 2021
- Last updated
- Jan 3, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171100000X | Acupuncturist | 310 | NH | Yes |
| 171100000X | Acupuncturist | ACU-1257 | HI |
Practice location
225 Concord StPeterborough, NH 03458-1207
Phone 603-933-1577
Mailing address
225 Concord StPeterborough, NH 03458-1207
Phone 603-933-1577
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All 10 Acupuncturist providers in Peterborough · All 362 providers in Peterborough
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