Individual
ERICKA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6819 ORANGEVILLE DR, DALLAS, TX 75237-2574
(214) 235-6446
Mailing address
6819 ORANGEVILLE DR, DALLAS, TX 75237-2574
(214) 235-6446
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
03/06/2014
Last updated
03/06/2014
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