Individual
MS. DODDIE LOUISE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
2701 W. ALAMEDA AVE, SUITE 607, BURBANK, CA 91505
(818) 842-1410
(818) 842-1408
Mailing address
5705 SALOMA AVE, VAN NUYS, CA 91411
(818) 517-4755
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
15475
CA
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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