SHAUN MARIE TANIKA WILSON

BROOKLYN, NY
NPI1902140593
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  0162481)
Enumeration Date2012-11-20
Last Update Date2012-11-20
Business Address
-- SHAUN MARIE TANIKA WILSON PAC
1442 E 84TH ST 2FL
BROOKLYN, NY 11236-5128
Phone number: 347-866-7357
Mailing Address
-- SHAUN MARIE TANIKA WILSON PAC
1442 E 84TH ST 2FL
BROOKLYN, NY 11236-5128
Phone number: 347-866-7357
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