TANIQUA WILSON

INDIANAPOLIS, IN
NPI1982849279
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: IN  27060931A)
Enumeration Date2008-12-16
Last Update Date2008-12-16
Business Address
-- TANIQUA WILSON
2626 E 46TH ST STE J
INDIANAPOLIS, IN 46205-2380
Phone number: 317-475-9066
Mailing Address
-- TANIQUA WILSON
3178 N CAPITOL AVE
INDIANAPOLIS, IN 46208-4626
Phone number: