Individual
YAMIKA SHANTELL WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3421 SELLERS ST, MEMPHIS, TN 38127-5230
(901) 652-6102
Mailing address
3421 SELLERS ST, MEMPHIS, TN 38127-5230
(901) 652-6102
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
180004860
TN
Other
Enumeration date
11/12/2019
Last updated
11/12/2019
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