Wilson, Tattiyona

Wilson, Tattiyona is an individual health care provider with primary practice located at 3841 Van Ness Ave , North Las Vegas NV 89081-4062. She recently has only one registered license in Emergency Medical Service Providers / Personal Emergency Response Attendant, which is considered as her primary health care specialty. Wilson, Tattiyona can be contacted via phone (562) 391-3981.

Contact Information

Primary practice address
3841 Van Ness Ave North Las Vegas NV 89081-4062
Phone: (562) 391-3981
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Emergency Medical Service Providers / Personal Emergency Response Attendant 146D00000X

Profile Details

NPI number 1881066207
LBN Legal business name Wilson, Tattiyona
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2015
Last updated Oct 25th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881066207 NPPES
Nevada MEDICAID 00001935159

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