Search › California › 164X00000X
Mary Wilson
NPI 1972284594 · on the registry since 2023 · sole proprietor
Practice
- Address
- 248 Avenida Monterey Apt B
San Clemente, CA 92672 - Phone
- (951) 536-9221
Registry record
- Primary taxonomy
- 164X00000X
164X00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-07-27
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