Individual
MS. AMANDA BRUNING WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
460 N MAGNOLIA AVE, EL CAJON, CA 92020-3610
(858) 231-4132
Mailing address
1025 ISLAND AVE UNIT 503, SAN DIEGO, CA 92101-7273
(858) 231-4132
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
752893
CA
Other
Enumeration date
11/09/2011
Last updated
11/09/2011
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