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ALEXANDRIA COLEMAN WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1873 COMMERCENTER W, SAN BERNARDINO, CA 92408-3303
(714) 633-6373
Mailing address
801 E KATELLA AVE, ANAHEIM, CA 92805-6614

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95114862
CA
363LF0000X
Family Nurse Practitioner
Primary
95017522
CA

Other

Enumeration date
06/25/2021
Last updated
05/24/2023
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