Individual
BOBBI LOUISE WILKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPA-C
Contact information
Practice address
360 SAN MIGUEL DR STE 107, NEWPORT BEACH, CA 92660-7815
(949) 760-8300
Mailing address
360 SAN MIGUEL DR STE 107, NEWPORT BEACH, CA 92660-7815
(949) 760-8300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA59894
CA
Other
Enumeration date
08/21/2021
Last updated
08/21/2021
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