Individual
DANIELA WILMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EDUCATION SPECIALIST
Contact information
Practice address
2774 PINE CREEK CIR, FULLERTON, CA 92835-2931
(714) 980-2774
Mailing address
2774 PINE CREEK CIR, FULLERTON, CA 92835-2931
(714) 980-2774
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
06/18/2019
Last updated
06/18/2019
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