| Provider / Organization | NPI | Date Certified |
|---|---|---|
| DEOSHANAY LAMYIA WILSON | 1588326284 | 2021-10-10 |
Deoshanay Lamyia Wilson is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1588326284. Registration indicates Deoshanay Lamyia Wilson is a provider of services with a specialization in Technician: Personal Care Attendant (Nursing Service Related Providers, Technician) (Technician Personal Care Attendant, Nursing Service Related Providers) (Technician, ) (Technician: Personal Care Attendant, ) (Nursing Service Related Providers, Technician) (Technician Personal Care Attendant, Nursing Service Related Providers) (Technician, )
| Entity Type | Individual |
| Provider Name | Deoshanay Lamyia Wilson DIPLOMA |
| Practice Office Address | 4375 BOULDER HWY APT 346 LAS VEGAS, NV US |
| Practice Office Telephone | 7028014438 |
| Mailing Address | 4375 BOULDER HWY APT 346 LAS VEGAS, NV 891213082 US |
| Business Telephone | 7028014438 |
| Code | Practice | License No State |
|---|---|---|
| 3747P1801X | Technician: Personal Care Attendant Nursing Service Related Providers Technician Technician Personal Care Attendant Nursing Service Related Providers Technician | 2106451791
NV |
| 3747P1801X PRIMARY | Technician: Personal Care Attendant Nursing Service Related Providers Technician Technician Personal Care Attendant Nursing Service Related Providers Technician | 000170044920632
NV |
| 2003 | MEDICAID | NV | |
| VNV713796566 | MEDICAID | NV |