Individual
MRS. CAROLE ANN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
529 MAPLE AVE, LOS ANGELES, CA 90013-1511
(213) 430-6700
Mailing address
529 MAPLE AVE, LOS ANGELES, CA 90013-1511
(213) 430-6700
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
585848
CA
Other
Enumeration date
08/28/2008
Last updated
08/28/2008
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