Individual
BRITANNY WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
757 WESTWOOD PLZ, LOS ANGELES, CA 90095-8358
(909) 827-6997
Mailing address
17897 RUTHERFORD DR, RIVERSIDE, CA 92503-7139
(909) 827-6997
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95033299
CA
Other
Enumeration date
12/18/2024
Last updated
12/18/2024
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