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Search › California › 163W00000X

Jack Wisdom, CSA

NPI 1376968750 · on the registry since 2014 · sole proprietor

Practice

Address
5974 Pentz Rd
Paradise, CA 95969
Phone
(530) 876-7903
Organisation at this address
County Of Butte
Feather River Hospital
Feather River Hospital
Feather River Hospital
Feather River Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address
39

Registry record

Primary taxonomy
163W00000X
163W00000X
Also registered as
163W00000X
Licence states on file
CA, TN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-02-21

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