Individual
COLLEEN WILFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10115 W RIVER ST, TRUCKEE, CA 96161-0324
(530) 581-8864
Mailing address
10115 W RIVER ST, TRUCKEE, CA 96161-0324
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP14416
CA
Other
Enumeration date
02/14/2007
Last updated
07/08/2007
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