Individual
BRENDA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2418 ALLEGHENY WAY, PLACENTIA, CA 92870-1404
(714) 726-6850
Mailing address
2418 ALLEGHENY WAY, PLACENTIA, CA 92870-1404
(714) 726-6850
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/29/2016
Last updated
10/15/2022
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