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Individual

ASHLEY LAUGHLIN WILDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
A.P.R.N., C.N.P

Contact information

Practice address
525 E MAIN ST, EL CAJON, CA 92020-4007
(619) 515-2498
Mailing address
823 GATEWAY CENTER WAY, SAN DIEGO, CA 92102-4541
(619) 515-2300

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
17545
OH
363LF0000X
Family Nurse Practitioner
Primary
95016274
CA

Other

Enumeration date
07/29/2015
Last updated
01/12/2021
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