SHALISE TINA WILSON

CEDAR CITY, UT
NPI1700391182
Other NameSHALISE TINA JACKSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2017-12-07
Last Update Date2024-05-09
Business Address
SHALISE TINA WILSON
245 E 680 S
CEDAR CITY, UT 84720-3593
Phone number: 435-867-7654
Mailing Address
SHALISE TINA WILSON
245 E 680 S
CEDAR CITY, UT 84720-3593
Phone number: 435-867-7654