Individual
MISS BRANDI D WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
320 GRAND ST APT 302, ALAMEDA, CA 94501-5959
(714) 616-8102
Mailing address
320 GRAND ST APT 302, ALAMEDA, CA 94501-5959
(714) 616-8102
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/17/2018
Last updated
04/17/2018
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