Organization
MY FAMILY CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERROLL WILSON FNP (PROVIDER)
(760) 799-4957
Entity
Organization
Contact information
Practice address
81709 DR CARREON BLVD, STE C5, INDIO, CA 92201-5509
(760) 772-0685
Mailing address
81709 DR CARREON BLVD, STE C5, INDIO, CA 92201-5509
(760) 772-0685
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
—
—
Other
Enumeration date
03/11/2015
Last updated
03/11/2015
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