Terra Wilson, SAC II

NPI 1821134271 · on the registry since 2007 · sole proprietor

Practice

Address: 9345 Winchester
Lower Lake, CA 95457
Phone: (707) 995-3235
Fax: (707) 995-7004
Organisation at this address: Lake County Community Action Agency
Lake County Community Action Agency
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 101YA0400X
101YA0400X
Also registered as: 101YA0400X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2009-08-21

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