Individual
MRS. JOAN MARIE WILD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNC, NP
Contact information
Practice address
3599 E HILLHAVEN DR, WEST COVINA, CA 91791-1720
(626) 331-4245
Mailing address
3599 E HILLHAVEN DR, WEST COVINA, CA 91791-1720
(626) 331-4245
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
Primary
100673
CA
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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