Individual
SYDNEY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
23360 BRIDLE VIEW DR, LINDALE, TX 75771-5511
(888) 408-4364
(575) 339-0915
Mailing address
23360 BRIDLE VIEW DR, LINDALE, TX 75771-5511
(888) 408-4364
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
11127495-3102
UT
Other
Enumeration date
11/07/2024
Last updated
11/07/2024
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