Tammy Wilson

NPI #1174306294 in York, Nebraska

Provider Information

NPI Number: 1174306294
Entity Type: Individual
Name: Tammy Wilson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chore Provider
Enumeration Date: Aug 14, 2023
Last Updated: Aug 14, 2023

Practice Location

Address: 1715 N DELAWARE AVE
City: York
State: Nebraska
ZIP Code: 68467-1202
Phone: (402) 362-6655

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chore Provider	372500000X	Primary

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