Individual
MALIKA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-6402
(860) 679-8080
(860) 679-1340
Mailing address
334 E 26TH ST # 6D2, NEW YORK, NY 10010-1915
(402) 570-6704
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/22/2021
Last updated
03/30/2022
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