SearchCalifornia167G00000X

Millie Wilson

NPI 1306056668 · on the registry since 2007

Practice

Address
1113 Porter St Apt C
Vallejo, CA 94590
Phone
(505) 977-1316

Registry record

Primary taxonomy
167G00000X
167G00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

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