Individual
ANGELA JEANINE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2123 YGNACIO VALLEY RD STE K200, WALNUT CREEK, CA 94598-3336
(925) 926-0195
Mailing address
2123 YGNACIO VALLEY RD STE K200, WALNUT CREEK, CA 94598-3336
(925) 926-0195
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
58950
CA
Other
Enumeration date
12/24/2020
Last updated
02/20/2021
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