Individual
BILLIE WAKEHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1660 HOTEL CIRCLE NORTH, , SUITE 101 AND 314,, SAN DIEGO, CA 92108
(619) 961-2120
Mailing address
1660 HOTEL CIRCLE NORTH, SUITE 101 AND 314, SAN DIEGO, CA 92108
(619) 961-2120
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/10/2021
Last updated
06/10/2021
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