Individual
DARNISHA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
516 SW 54TH ST, OKLAHOMA CITY, OK 73109-8010
(405) 201-4218
Mailing address
516 SW 54TH ST, OKLAHOMA CITY, OK 73109-8010
(405) 201-4218
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
204921
OK
376K00000X
Nurse's Aide
37V869940318
OK
Other
Enumeration date
05/07/2025
Last updated
05/07/2025
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