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Individual

TAWANA CHARLET WILCOXON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
9125 HIGHWAY 6 N, HOUSTON, TX 77095-2323
(832) 782-0031
Mailing address
9125 HIGHWAY 6 N, APT# 136, HOUSTON, TX 77095-2323
(832) 782-0031

Taxonomy

Speciality
Code
Description
License number
State
372500000X
Chore Provider
372600000X
Adult Companion
3747P1801X
Personal Care Attendant
Primary

Other

Enumeration date
02/04/2008
Last updated
02/04/2008
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