Shawnee Wilson, MA

NPI #1487246617 in Kayenta, Arizona

Provider Information

NPI Number
1487246617
Entity Type
Individual
Name
Shawnee Wilson, MA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Technician, Other
Credential
MA
Enumeration Date
Feb 9, 2021
Last Updated
Feb 9, 2021

Practice Location

Address
394.3 US-160
State
Arizona
ZIP Code
86033
Phone
(928) 697-4000

Specialties & Taxonomy Codes

Specialty
Technician, Other

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