Individual
MRS. DEISHA MALONES WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
145 THUNDER DR, VISTA, CA 92083-6010
(760) 941-9002
(760) 630-2515
Mailing address
11 TECHNOLOGY DR, IRVINE, CA 92618-2302
(949) 923-3277
(855) 812-5865
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A11676
CA
Other
Enumeration date
11/03/2009
Last updated
12/06/2021
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