Individual
WILSON MACALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
REGISTERED NURSE
Contact information
Practice address
10330 PIONEER BLVD STE 180, SANTA FE SPRINGS, CA 90670-6012
(562) 347-2213
Mailing address
10544 LYNDORA ST, NORWALK, CA 90650-2139
(562) 417-4334
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
771418
CA
Other
Enumeration date
04/06/2020
Last updated
04/06/2020
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