MRS. Jerrica Marie Wild
NPI #1003109844 in Beale Afb, California
Provider Information
- NPI Number
- 1003109844
- Entity Type
- Individual
- Name
- MRS. Jerrica Marie Wild
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Military Health Care Provider - Independent Duty Medical Technicians
- Enumeration Date
- May 26, 2011
- Last Updated
- Nov 22, 2011
Practice Location
- Address
- 15301 WARREN SHINGLE ROAD
- City
- Beale Afb
- State
- California
- ZIP Code
- 95903
- Phone
- (530) 634-4738
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Medical Technicians — Independent Duty Medical Technicians |
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