Individual
ANDREA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
18519 EGRET BAY BLVD APT 1610, HOUSTON, TX 77058-3280
(832) 654-5973
Mailing address
18519 EGRET BAY BLVD APT 1610, HOUSTON, TX 77058-3280
(832) 654-5973
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NA08894087
TX
Other
Enumeration date
02/11/2014
Last updated
02/11/2014
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