MICALLIA L WILSON

HOUSTON, TX
NPI1740851377
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TX  1109807)
Additional Taxonomies163W00000X Registered Nurse
(Licence: FL  RN9452435)
Enumeration Date2021-07-06
Last Update Date2024-02-12
Business Address
MICALLIA L WILSON
6720 BERTNER AVE
HOUSTON, TX 77030-2604
Phone number: 823-355-2666
Mailing Address
MICALLIA L WILSON
11200 SW 8TH ST
MIAMI, FL 33199-2516
Phone number: