Individual
CARMEN MICHELLE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
155 N LAKE AVE FL 8, PASADENA, CA 91101-1849
(818) 835-4306
Mailing address
155 N LAKE AVE FL 8, PASADENA, CA 91101-1849
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Enumeration date
04/16/2026
Last updated
04/16/2026
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