Individual
ASHLEY ELIZABETH WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
121 ACADIA AVE, SANTA CRUZ, CA 95060-4209
(831) 706-0043
Mailing address
157 S K ST, TULARE, CA 93274-4011
(661) 609-2128
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95030536
CA
Other
Enumeration date
02/28/2024
Last updated
02/28/2024
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