Individual
KRYSTAL WILSON I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1745 OATES DR, APT 717, MESQUITE, TX 75150-8801
(214) 916-9524
Mailing address
1745 OATES DR, APT 717, MESQUITE, TX 75150-8801
(214) 916-9524
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/02/2015
Last updated
09/02/2015
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