Individual
KARLA DEE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1500 DUARTE RD, COH, DPS RM 120, DUARTE, CA 91010-3012
(626) 359-8111
(626) 471-9204
Mailing address
PO BOX 512185, LOS ANGELES, CA 90051-0185
(626) 775-3514
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
12385
CA
363LF0000X
Family Nurse Practitioner
537766
CA
Other
Enumeration date
05/19/2007
Last updated
11/23/2020
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