Individual
DELVON WINGFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3491 KURTZ ST STE 150, SAN DIEGO, CA 92110-4430
(657) 337-6037
Mailing address
3491 KURTZ ST STE 150, SAN DIEGO, CA 92110-4430
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
MPSS-DTARZX
CA
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
12/03/2024
Last updated
04/08/2026
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