Individual
CHRISTINE J. WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, HEC-C
Contact information
Practice address
15007 HARTLAND ST, VAN NUYS, CA 91405-3714
(818) 389-8512
Mailing address
14622 VENTURA BLVD # 2135, SHERMAN OAKS, CA 91403-3600
(818) 389-8512
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
319649
CA
174V00000X
Clinical Ethicist
Primary
—
—
Other
Enumeration date
10/19/2020
Last updated
10/19/2020
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