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Individual

FELICIA MARIE WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
368 BARCELONA ST, VALLEJO, CA 94591-7605
(707) 641-3113
Mailing address
368 BARCELONA ST, VALLEJO, CA 94591-7605
(707) 641-3113

Taxonomy

Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary

Other

Enumeration date
10/16/2019
Last updated
10/16/2019
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