Krystal Wilson I
Community Health Worker in Mesquite, TX. Individual provider (NPI-1).
NPI number1326416751
StatusActive
Last updated in NPPESSep 2, 2015
Details
- NPI
- 1326416751
- Entity type
- Individual (NPI-1)
- Name
- Krystal Wilson I
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 2, 2015
- Last updated
- Sep 2, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Practice location
1745 Oates DrApt 717
Mesquite, TX 75150-8801
Phone 214-916-9524
Mailing address
1745 Oates DrApt 717
Mesquite, TX 75150-8801
Phone 214-916-9524
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All 20 Community Health Worker providers in Mesquite · All 2,371 providers in Mesquite
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