Individual
MRS. ANESTRA LATSHA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N
Contact information
Practice address
2544 W SUNLAND AVE, PHOENIX, AZ 85041-4503
(216) 288-9229
Mailing address
2544 W SUNLAND AVE, PHOENIX, AZ 85041-4503
(216) 288-9229
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
398815
OH
163W00000X
Registered Nurse
Primary
RN214132
AZ
Other
Enumeration date
04/07/2010
Last updated
04/23/2025
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