Individual
TANYA WILCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
550 1ST AVE, NEW YORK, NY 10016-6402
(650) 245-1073
Mailing address
120 DUGGAN RD, REDWOOD CITY, CA 94062-3213
(650) 245-1073
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
13411684-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/27/2016
Last updated
10/05/2023
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