| NPI Details | |
|---|---|
| NPI | 1073953220 |
| Gender | Female |
| Enumeration Date | 07/02/2013 |
| Last Updated | 08/27/2014 |
| Entity Type | Individual |
| Active | Over 4 years ago |
| Practice Location | |
|---|---|
| 5905 SOQUEL DR SOQUEL CA, 95073-2855, US |
|
| Phone | (831) 428-5426 |
| Fax | |
| Business Location | |
|---|---|
| 3645 GATEWOOD CT SANTA CRUZ CA, 95065-1666, US |
|
| Phone | (831) 428-5426 |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 101YM0800X |
| License State | |
| License Number | |
| Remove 1073953220 NPI Number | |
According to our database, Vanessa V Wilson NPI is 1073953220, taxonomy code is 101YM0800X Vanessa V Wilson physically located at 5905 Soquel Dr, Soquel CA, 95073-2855. NPI Number Vanessa V Wilson has the Individual type.
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1073953220 NPI number is provided on an as is basis without warranty of any kind. 1073953220 is maintained by the National Plan & Provider Enumeration System. The contents of Vanessa V Wilson are for informational purposes only.
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