Individual
KISHA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CEO
Contact information
Practice address
5588 N PALM AVE, FRESNO, CA 93704-1913
(559) 408-8771
Mailing address
5588 N PALM AVE, FRESNO, CA 93704-1913
(559) 408-8771
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
9MRE564
CA
Other
Enumeration date
03/19/2025
Last updated
04/02/2025
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