SearchCalifornia103TS0200X

Carly Wilson, MS, PPS

NPI 1649132424 · on the registry since 2025

Practice

Address
33000 Yucaipa Blvd
Yucaipa, CA 92399
Phone
(909) 797-0106
Clinicians at this address
4

Registry record

Primary taxonomy
103TS0200X
103TS0200X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-12-01

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