TISHA LIQUE WILSON

SAN ANTONIO, TX
NPI1861373532
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy332B00000X Durable Medical Equipment & Medical Supplies
(Licence: TX  1551189)
Enumeration Date2025-09-10
Last Update Date2025-09-10
Business Address
Mrs. TISHA LIQUE WILSON
1231 AUSTIN HWY STE 103
SAN ANTONIO, TX 78209-4982
Phone number: 504-385-5751
Mailing Address
Mrs. TISHA LIQUE WILSON
PO BOX 90005
SAN ANTONIO, TX 78209-9005
Phone number: 504-385-5751
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