Individual
MRS. MELVA LYNETTE WILSON-CALVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
22831 S RECKER RD, GILBERT, AZ 85297-8936
(480) 279-1071
(480) 279-1076
Mailing address
22831 S RECKER RD, GILBERT, AZ 85297-8936
(480) 279-1071
(480) 279-1076
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
AFC-5336
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
482448
AHCCCS ID
AZ
Enumeration date
12/08/2006
Last updated
07/08/2007
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