Individual
ALICE JUDITH WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
651 I ST, SACRAMENTO, CA 95814-2400
(916) 874-6752
Mailing address
4610 X ST, SACRAMENTO, CA 95817-2200
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/12/2019
Last updated
12/06/2021
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