Fayetta Renee Wilson
NPI #1164994174 in Cedar Hill, Texas
Provider Information
- NPI Number
- 1164994174
- Entity Type
- Individual
- Name
- Fayetta Renee Wilson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Registered Nurse
- Enumeration Date
- Jan 2, 2019
- Last Updated
- Jan 2, 2019
Practice Location
- Address
- 929 SIMON DR
- City
- Cedar Hill
- State
- Texas
- ZIP Code
- 75104-7203
- Phone
- (972) 821-3159
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
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