Andre Wilson, LMT

NPI 1538903273 · on the registry since 2024 · sole proprietor

Practice

Address: 209 E Baseline Rd Ste E102
Tempe, AZ 85283
Phone: (480) 388-4252
Organisation at this address: Nevada First Choice
Freedom Lounge Pllc
Victory Primary Care
Evolve Life Services
Lavender & Latch, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: 225700000X
225700000X
Licence states on file: AZ
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-06-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona