NPI 1104298660

Travonda Wilson

Practitioner Contractor Arlington, TX

Practice location

Address: 200 Parkmead CT, Arlington, TX 76014-3157
Phone: (817) 271-1441

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Registry record

NPI: 1104298660
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Oct 2015
Record last updated: 23 Oct 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.