Individual
EMMA F WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
4600 BROADWAY, SACRAMENTO, CA 95820
(916) 874-9670
(916) 874-9297
Mailing address
4605 ULYSSES DR, SACRAMENTO, CA 95864
(916) 487-2936
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
113278
CA
Other
Enumeration date
08/17/2006
Last updated
07/08/2007
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