MS. Wetahanna Wilson

NPI #1861004541 in Midwest City, Oklahoma

Provider Information

NPI Number: 1861004541
Entity Type: Individual
Name: MS. Wetahanna Wilson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Health Worker
Enumeration Date: Aug 23, 2020
Last Updated: Aug 23, 2020

Practice Location

Address: 7901 NE 10TH ST STE B101
City: Midwest City
State: Oklahoma
ZIP Code: 73110-3653
Phone: (405) 250-8910

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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