Individual
TAWANA N WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
103 RODGERS ROAD, SUITE A, WILMINGTON, DE 19801-1980
(302) 268-9440
Mailing address
1118 W 6TH ST, WILMINGTON, DE 19805-3212
(302) 470-1423
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
L1-0045007
DE
Other
Enumeration date
05/07/2019
Last updated
05/07/2019
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