Individual
JENNIFER KATHRYN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
720 WOOD ST, EUREKA, CA 95501
(707) 268-2939
Mailing address
720 WOOD ST, HUMBOLDT COUNTY MENTAL HEALTH, EUREKA, CA 95501
(707) 268-2900
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A64309
CA
Other
Enumeration date
07/10/2008
Last updated
05/31/2011
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