Individual
TIFFANI A WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3234 BELAIR RD, BALTIMORE, MD 21213-1228
(301) 979-7501
(301) 979-7638
Mailing address
9411 HANNAHS MILL DR APT 304, OWINGS MILLS, MD 21117-6858
(443) 468-1816
(301) 979-7638
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
01/03/2022
Last updated
01/03/2022
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