Individual
ADRIENNE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
1 SHIELDS AVE, DAVIS, CA 95616-5270
(530) 752-7515
Mailing address
1 SHIELDS AVE, DAVIS, CA 95616-5270
(530) 752-7515
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/11/2014
Last updated
08/11/2014
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