Individual
TIMENA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2517 LAKE MARTIN CT, NORTH LAS VEGAS, NV 89031-4306
(707) 980-9485
Mailing address
2517 LAKE MARTIN CT, NORTH LAS VEGAS, NV 89031-4306
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
NV
Other
Enumeration date
05/22/2026
Last updated
05/22/2026
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