Theresa Wilson
NPI #1760631592 in San Clemente, California
Provider Information
- NPI Number
- 1760631592
- Entity Type
- Individual
- Name
- Theresa Wilson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Sep 17, 2008
- Last Updated
- Nov 30, 2025
Practice Location
- Address
- 724 S EL CAMINO REAL
- City
- San Clemente
- State
- California
- ZIP Code
- 92672-4250
- Phone
- (949) 493-6113
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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