| NPI | 1730051608 |
|---|---|
| Other Name | TEENA WILSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy (Licence: AR 2657421) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: 105121) |
| 261QR1100X Clinic/Center, Research (Licence: AR 105121) | |
| 347C00000X Private Vehicle (Licence: AR 908464201) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MN 2901552) | |
| Enumeration Date | 2025-09-20 |
| Last Update Date | 2025-09-20 |