Individual
DENNEL R WILDEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
683 LOMAS SANTA FE DR, SOLANA BEACH, CA 92075-1412
(858) 755-6697
Mailing address
683 LOMAS SANTA FE DR, SOLANA BEACH, CA 92075-1412
(858) 755-6697
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95014978
CA
Other
Enumeration date
01/25/2021
Last updated
01/12/2023
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