Individual
MRS. BREEZI LEEANN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3108 S FILLMORE ST, AMARILLO, TX 79110-1026
(806) 374-5516
Mailing address
7415 COBBLESTONE DR, AMARILLO, TX 79119-6251
(806) 433-6632
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
759536
TX
Other
Enumeration date
06/18/2014
Last updated
06/18/2014
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