Individual
DR. GINA L. WILVANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
18300 GRIDLEY RD, SUITE 203, ARTESIA, CA 90701-5440
(562) 402-2489
(562) 809-7219
Mailing address
PO BOX 111, ARTESIA, CA 90702-0111
(562) 402-2489
(562) 809-7219
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
E4393
CA
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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