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Individual

CHRISTINA WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
405 W 5TH ST, SANTA ANA, CA 92701-4599
(714) 917-9082
Mailing address
4541 LARWIN AVE, CYPRESS, CA 90630-3508
(714) 917-9082

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95233241
CA

Other

Enumeration date
03/14/2023
Last updated
03/14/2023
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