Individual
WENDY WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9800 E GOLDEN CURRANT DR, TUCSON, AZ 85748-7897
(520) 310-9740
Mailing address
9800 E GOLDEN CURRANT DR, TUCSON, AZ 85748-7897
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
BH5922
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BH5922
AZ DEPT OF HEALTH SERVICES
AZ
Enumeration date
12/06/2019
Last updated
12/06/2019
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