Individual
KARINA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18646 OXNARD ST, TARZANA, CA 91356-1486
(888) 777-8565
Mailing address
7300 CANBY AVE APT 101, RESEDA, CA 91335-3079
(747) 265-9772
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
09/14/2023
Last updated
09/14/2023
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