Individual
RACHEL WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
254 VALLE VISTA AVE, MONROVIA, CA 91016-2313
(626) 827-1233
Mailing address
254 VALLE VISTA AVE, MONROVIA, CA 91016-2313
(626) 827-1233
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000011795
CA
Other
Enumeration date
05/05/2015
Last updated
05/05/2015
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