Individual
TAMARA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5630 LIVINGSTON TER APT 202, OXON HILL, MD 20745-2465
(240) 253-3162
Mailing address
5630 LIVINGSTON TER APT 202, OXON HILL, MD 20745-2465
(240) 253-3162
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
A00166820
MD
Other
Enumeration date
02/05/2021
Last updated
02/05/2021
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