Individual
IRINA WILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1221 BROADWAY, OAKLAND, CA 94612-1837
(415) 972-6000
Mailing address
1221 BROADWAY, OAKLAND, CA 94612-1837
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN95269340
CA
Other
Enumeration date
10/13/2022
Last updated
10/13/2022
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