Individual
KATHYERN ANN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12371 S KIRKWOOD RD, STAFFORD, TX 77477-2836
(713) 995-9292
Mailing address
9306 WHEATLEY ST, HOUSTON, TX 77088-4959
(713) 569-5504
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
122438
TX
Other
Enumeration date
02/20/2018
Last updated
02/20/2018
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