Individual
ANDREA MICHELLE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPPD
Contact information
Practice address
2915 N TEXAS ST, 150, FAIRFIELD, CA 94533-1291
(707) 720-9504
Mailing address
2915 N TEXAS ST, 150, FAIRFIELD, CA 94533-1291
(707) 720-9504
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
01/30/2011
Last updated
01/30/2011
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