Individual
ANDREA WILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3824 ATLANTA ST, DALLAS, TX 75215-3719
(214) 971-1123
Mailing address
3824 ATLANTA ST, DALLAS, TX 75215-3719
(214) 971-1123
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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