Chantal Tanisha Marie Wilson
Chantal Tanisha Marie Wilson is a Registered Nurse in Orange, New Jersey. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2013
Practice location Address checks out
765 Vose Ave Apt B10Orange, NJ 07050-1060
Phone: (973) 943-3728
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Registered Nurse (primary) | Taxonomy 163W00000X · Licence 670331 (NY) |
|---|
Record details
| NPI number | 1023442407 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 21, 2013 |
| Last updated in NPPES | August 21, 2013 |
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