Individual
MS. SANDRA KAY WILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, CCP, LP
Contact information
Practice address
102 OTTAWA RUN, SHAVANO PARK, TX 78231-1455
(210) 493-7379
(210) 493-9567
Mailing address
102 OTTAWA RUN, SHAVANO PARK, TX 78231-1455
(210) 493-7379
(210) 493-9567
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
TX224548
TX
242T00000X
Perfusionist
Primary
PF0138
TX
Other
Enumeration date
08/31/2010
Last updated
08/31/2010
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