Individual
ABIGAIL LEIGH WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
757 WESTWOOD PLZ, LOS ANGELES, CA 90095-8358
(310) 825-9111
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
(310) 301-8771
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN651156
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
95001723
CA
Other
Enumeration date
11/03/2021
Last updated
04/29/2022
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