Mary Kay Wilson I
NPI #1972284594 in San Clemente, California
Provider Information
- NPI Number
- 1972284594
- Entity Type
- Individual
- Name
- Mary Kay Wilson I
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Vocational Nurse
- Enumeration Date
- Jul 27, 2023
- Last Updated
- Jul 27, 2023
Practice Location
- Address
- 248 AVENIDA MONTEREY APT B
- City
- San Clemente
- State
- California
- ZIP Code
- 92672-1972
- Phone
- (951) 536-9221
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Vocational Nurse |
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