Individual
SABRINA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
11618 FARM ROAD 195, BAGWELL, TX 75412-3824
(970) 396-9501
Mailing address
11618 FARM ROAD 195, BAGWELL, TX 75412-3824
(970) 396-9501
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
976728
TX
Other
Enumeration date
10/01/2019
Last updated
10/01/2019
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