Individual
EKISHA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3435 W CRAIG RD, NORTH LAS VEGAS, NV 89032-5115
(702) 207-4458
Mailing address
3435 W CRAIG RD, NORTH LAS VEGAS, NV 89032-5115
(702) 207-4458
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
06/07/2023
Last updated
08/21/2025
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