Individual
ARHONDA NICOLE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6333 TELEGRAPH AVE STE 102, OAKLAND, CA 94609-1359
(510) 923-1099
Mailing address
6333 TELEGRAPH AVE STE 102, OAKLAND, CA 94609-1359
(510) 923-1099
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
390200000X
—
CA
Enumeration date
09/12/2022
Last updated
09/12/2022
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