Individual
ANTIONESE M WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1023 FORTUNA ST, PERRIS, CA 92571-7733
(562) 489-6360
(562) 489-6360
Mailing address
1023 FORTUNA ST, PERRIS, CA 92571-7733
(562) 489-6360
(562) 489-6360
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
06/27/2025
Last updated
08/01/2025
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