Sophia Wilson

NPI #1487532255 in Buena Park, California

Provider Information

NPI Number: 1487532255
Entity Type: Individual
Name: Sophia Wilson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Aug 21, 2025
Last Updated: Aug 21, 2025

Practice Location

Address: 6301 BEACH BLVD STE 25
City: Buena Park
State: California
ZIP Code: 90621-2840
Phone: (714) 736-0231

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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