Individual
TAMMIE MONIQUE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1314 E LAS OLAS BLVD, FORT LAUDERDALE, FL 33301-2334
(954) 418-2348
Mailing address
1117 NW 3RD CT APT 1, FORT LAUDERDALE, FL 33311-8771
(754) 600-7986
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
FL
Other
Enumeration date
04/20/2026
Last updated
04/20/2026
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