Individual
MS. TANISHA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
120 ELDRIDGE RD STE H, SUGAR LAND, TX 77478-4640
(713) 640-5809
(713) 904-2578
Mailing address
21623 MISTY FALL LN, KATY, TX 77449-8150
(832) 405-4310
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
885819
TX
Other
Enumeration date
03/19/2018
Last updated
03/19/2018
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