Individual
TIKKRI WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2807 E BROOKWOOD CT, PHOENIX, AZ 85048-7742
(602) 568-7656
Mailing address
2807 E BROOKWOOD CT, PHOENIX, AZ 85048-7742
(602) 568-7656
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
9388544
AZ
Other
Enumeration date
07/31/2024
Last updated
07/31/2024
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