Individual
CAROLYN DEANNA WILSON
Active
Individual
CAROLYN DEANNA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
950866896
CA
163WM0705X
Medical-Surgical Registered Nurse
950866896
CA
163WP0200X
Pediatric Registered Nurse
950866896
CA
Other
Enumeration date
05/18/2021
Last updated
09/01/2023
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