SearchCalifornia2355S0801X

Jaclynne Wilantt

NPI 1023762887 · on the registry since 2022 · sole proprietor

Practice

Address
185 Lakeshore Ct
Richmond, CA 94804
Phone
(562) 537-5284

Registry record

Primary taxonomy
2355S0801X
2355S0801X
Also registered as
2355S0801X
Licence states on file
CA, WA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-02-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California