Antanita Wilson
Antanita Wilson is a Community/Behavioral Health Agency in Las Vegas, Nevada. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
4852 Polar Lights CtLas Vegas, NV 89130-7275
Phone: (702) 826-7250
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X |
|---|
Record details
| NPI number | 1598538233 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | November 3, 2023 |
| Last updated in NPPES | November 3, 2023 |
| Certification date | November 3, 2023 |
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