Individual
CHRISTIAN FAITH WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
134 PARK BLVD, EL CAJON, CA 92021-4046
(619) 880-0455
Mailing address
134 PARK BLVD, EL CAJON, CA 92021-4046
(619) 880-0455
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
ID
Other
Enumeration date
08/18/2022
Last updated
08/18/2022
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