Individual
MARIAHA DAYLEON WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
1919 S BRAESWOOD BLVD STE 5330, HOUSTON, TX 77030-4466
(832) 827-4000
Mailing address
1919 S BRAESWOOD BLVD STE 5330, HOUSTON, TX 77030-4466
(903) 526-9887
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1058478
TX
Other
Enumeration date
09/08/2022
Last updated
10/11/2022
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