Individual
ZANE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
20103 LAKE CHABOT RD, CASTRO VALLEY, CA 94546-5305
(510) 537-1234
Mailing address
312 24TH ST APT 921, OAKLAND, CA 94612-4920
(601) 320-3950
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95028609
CA
Other
Enumeration date
03/21/2024
Last updated
03/25/2024
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