Individual
MISS ROSE A WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
908 BURLINGTON DR, MODESTO, CA 95356-1205
(209) 204-3103
Mailing address
908 BURLINGTON DR, MODESTO, CA 95356-1205
(209) 204-3103
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
CA
Other
Enumeration date
03/04/2026
Last updated
03/04/2026
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