Individual
JENNIFER MARIE IGLESIAS WILDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16429 BELLFLOWER BLVD, BELLFLOWER, CA 90706-5414
(562) 320-4186
Mailing address
16429 BELLFLOWER BLVD, BELLFLOWER, CA 90706-5414
(562) 320-4186
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-NAHEVM
CA
Other
Enumeration date
10/04/2024
Last updated
10/04/2024
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