Individual
MS. MARNETTA BOLTON WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18849 CEDAR CT, ADELANTO, CA 92301-3527
(760) 927-1005
Mailing address
18849 CEDAR CT, ADELANTO, CA 92301-3527
(909) 653-2843
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
691708
CA
Other
Enumeration date
07/26/2022
Last updated
08/09/2022
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