Individual
MS. DORIS LORRAINE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2089 6TH ST, NORCO, CA 92860-1161
(951) 734-3537
Mailing address
2089 6TH ST, NORCO, CA 92860-1161
(951) 734-3537
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
RN459199
CA
363LF0000X
Family Nurse Practitioner
Primary
NP11223
CA
Other
Enumeration date
01/06/2010
Last updated
01/06/2010
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