Individual
ISABELLE LAURE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2050 FAIRMONT DR, CASTRO VALLEY, CA 94578-1001
(510) 895-5502
Mailing address
300 CASITAS AVE, SAN FRANCISCO, CA 94127-1630
(415) 601-4286
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95428933
CA
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
06/05/2024
Last updated
05/26/2026
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