Tyrone Ervin Wilson
NPI #1700602174 in Dorchester, Massachusetts
Provider Information
- NPI Number
- 1700602174
- Entity Type
- Individual
- Name
- Tyrone Ervin Wilson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician/Technologist - Optician
- Enumeration Date
- Dec 2, 2024
- Last Updated
- Dec 8, 2024
Practice Location
- Address
- 98 DAKOTA ST APT 2
- City
- Dorchester
- State
- Massachusetts
- ZIP Code
- 02124-1270
- Phone
- (857) 406-9883
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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