Individual
SARAH WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
9408 PLACER RD, REDDING, CA 96001-9709
(530) 338-4074
Mailing address
9408 PLACER RD, REDDING, CA 96001-9709
(530) 338-4074
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
VN217436
CA
Other
Enumeration date
09/20/2015
Last updated
09/20/2015
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