Individual
VICKIE RENAE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6045 RAINTREE DR, MEMPHIS, TN 38115-6225
(214) 558-4164
Mailing address
6045 RAINTREE DR, MEMPHIS, TN 38115-6225
(214) 558-4164
Taxonomy
Speciality
Code
Description
License number
State
246R00000X
Pathology Technician
Primary
—
—
Other
Enumeration date
02/18/2022
Last updated
02/21/2022
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