Individual
MYRA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
802 KINGSGATE DR, CORONA, CA 92882-6864
(951) 223-6966
Mailing address
802 KINGSGATE DR, CORONA, CA 92882-6864
(951) 223-6966
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
04/04/2026
Last updated
04/04/2026
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