Janis Payne Wilson

NPI #1841920394 in Haltom City, Texas

Provider Information

NPI Number: 1841920394
Entity Type: Individual
Name: Janis Payne Wilson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Contractor
Enumeration Date: Jun 15, 2022
Last Updated: Jun 15, 2022

Practice Location

Address: 5820 CLEAR CREEK DR
City: Haltom City
State: Texas
ZIP Code: 76137-5802
Phone: (817) 456-4484

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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