Individual
DARAH LYNN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1600 W AVENUE J, LANCASTER, CA 93534-2814
(661) 949-5000
Mailing address
42801 KILHAM AVE, LANCASTER, CA 93534-6242
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
766566
CA
Other
Enumeration date
10/05/2017
Last updated
10/05/2017
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