Individual
DR. ALEXANDRA GRACE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2911 CHANTICLEER AVE, SANTA CRUZ, CA 95065-1815
(831) 477-2350
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
20A22508
CA
Other
Enumeration date
03/26/2018
Last updated
10/16/2024
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