Individual
MS. CONSTANCE RUTH WYLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 VAN NESS AVE, SAN FRANCISCO, CA 94109-6978
(415) 600-1010
(415) 558-7051
Mailing address
21300 BALD RIDGE DR, PENN VALLEY, CA 95946-9402
(530) 304-9606
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP7089
CA
Other
Enumeration date
10/06/2006
Last updated
04/01/2022
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