Hettie Tabitha Wilson, PA

NPI #1467512608 in Germantown, Maryland

Provider Information

NPI Number
1467512608
Entity Type
Individual
Name
Hettie Tabitha Wilson, PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA
Enumeration Date
Dec 11, 2006
Last Updated
Oct 11, 2013

Practice Location

Address
20010 CENTURY BLVD
Address 2
SUITE 200
ZIP Code
20874-1115
Phone
(240) 686-2300

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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