Individual
CHERIE M WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
30 THE SHOPS AT MISSION VIEJO, MISSION VIEJO, CA 92691-6527
(949) 364-4010
(949) 364-4001
Mailing address
14117 TIGER LILY CT, CORONA, CA 92880-3225
(951) 280-9402
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
12774T
CA
Other
Enumeration date
01/19/2007
Last updated
07/08/2007
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