Tanya Wilson

NPI #1093508293 in Phoenix, Arizona

Provider Information

NPI Number: 1093508293
Entity Type: Individual
Name: Tanya Wilson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Homemaker
Enumeration Date: May 28, 2025
Last Updated: May 28, 2025

Practice Location

Address: 4233 S 58TH DR
City: Phoenix
State: Arizona
ZIP Code: 85043-6414
Phone: (480) 389-7983

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Homemaker	376J00000X	Primary

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