Individual
BREYANNA PAIGE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1901 MARTIN LUTHER KING JR WAY S, SEATTLE, WA 98144-4801
(206) 322-7676
Mailing address
1901 MARTIN LUTHER KING JR WAY S, SEATTLE, WA 98144-4801
(206) 322-7676
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/01/2021
Last updated
03/01/2021
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